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fi Ir <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # s��`}E Job#: 11C 13 �- <br /> Address: Date: -6 <br /> City <S Sampler- <br /> Well 10 Well Condition A .1 <br /> Well Diameter Z R Hydrocarbon Amount Bailed <br /> r Thickness- (product/water) <br /> Total Depth -• z j C ! tr Volumc 2"-0 17 \� 3'= 0.38 4" =0 66 <br /> Depth to Water <br /> -� (7 Factor(VF) 6'= 1.50 12" =5 80 <br /> L� �* <br /> X VF _� Q 7X 3 {case valume) = Estimated Purge Volume / <br /> Pt.rge Disposable Baiter Sampling <br /> Equipment. Bailer Equipment: 0tsposa5TI aiFel <br /> Stack ga, <br /> Pressure Sailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time f Weather Conditions <br /> Sampling Time - Water Color Cdcr h <br /> Purging Flow Rate t QPM I Sediment Description x <br /> Did well de-water? If yes, Time Volume <br /> Tune Volume pH Conductivity Temperature D O ORP Alkcaluuty <br /> ' (gal) Amhosl=x0z) "��` (mS/L) (mv) (PPS') <br /> C-0 ---3 - 2 4� — `r 2S, j i'o <br /> � s v Z -2 <br /> 122- 2 <br /> LABORATORY INF0RMAT10N <br /> SAMPLE 10 (x) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> A-,w- 3 3 vc A- y #-C� -S e /,37-&—/IMT,3E <br /> r Z Va) A �l r 99&5 6 Gx C-1-e <br /> r i 1 <br /> 4,' TP#D <br /> . COMMENTS <br /> 4r9T n.w.t,hrn <br />