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r' r. <br /> WELL MONITOR]NGISAMPLING <br /> FIELD DATA SHEET <br /> nS[.cJ,Client/ <br /> Facility # s996 Job#: <br /> _ Address: Z?l-j I „ Oil —R-rra� c - Date: f!}'f�19 -- <br /> City: _ 'SA?e,-7er" - Sampler- - llall' d ..Well ID � �J' A Well Condition e 'L <br /> Well Diameter Z n Hydrocarbon Amount Bailed <br /> 7Thickness 5;;;L I. (productrwater) <br /> Tata) Depth Z 715— Valume 2' =0 .17 3"= 0.38 4" - 0 66 <br /> Depth to Water �*- <br /> Factor(Y=} 6" - L50 12"=5 90 <br /> � � � <br /> t 6 X VF TF X 3 (case volume) = Estimated Purge Volume <br /> Pt.rge Disposable Balser Sampiing <br /> Equipment: Bailer Equipment. Drspos�Ee"�rTeT <br /> Stack Bar <br /> uL~�' Pressure Sailer <br /> Grundfos Grab Sample <br /> Other Other <br /> • Starting Time 11L. 3 3 Weather Conditions <br /> Sampling Time ' S1 Water Color _ d Odor <br /> Purging Flow Rate / oprn. Sediment Description <br /> Did well de-water? -- If yes, Time Volume rear I <br /> Time Volume PH Conductrnty Temperature D O ORP AUmluuty <br /> (gal) A—ios/c=X OZ) �'�`= (MVL) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 J#) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> c+�_tl-D 3 VC,4 y ,�c s e A TPhr6 arE-XI>y raE <br /> r i Z (/a A Ll rr $260(6) dx CL"'ap <br /> 2-p#D <br /> • COMMENTS <br /> W97 n.b.v rffn <br />