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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 7'05GC <br /> • Facility # '-5-915"6 Job#• 1196 13 - <br /> _ Address: 7-:7-01 Aide r� � Date: <br /> City: sta e.t� Sampler: <br /> Weil ID r S Well Condition '�- <br /> Weil Diameter -Z �n Hydrocarbon r�-� Amount Bailed <br /> Total Depth <br /> r Thickness- `—� n- (woductlwater) fga4I <br /> l S ��--- n- <br /> VoIume 2"- 0 17 3"= 0.38 4" = 0 66 <br /> Depth to Water <br /> 2P 5 Factor(VF) 6" = 150 12" =5 80 <br /> k <br /> Z (= X VF �• 1 H UX 3 (case volume) - Estimated Purge Volume 'tf 4z Iffal.I <br /> Ps.rge Disposable Bailer Sampling <br /> Equipment Bailer Equipment. Dtsposl5re`Sal e <br /> Stack Bay <br /> t�' Pressure Bailer <br /> Grundfas Grab Sample <br /> Other Other <br /> Starting Time _ Z f T Weather Conditions <br /> Sampling Time Z .Z Z Water Color Cdar A,"C <br /> Purging Flow Rate Gpr" Sediment Description <br /> Did well de-water? ` If yes, Time Volume <br /> Time Volume pH Conductivity Te:npcimture D O ORP Alkaluuty <br /> (gal} jimhas/cmUr, °�rr` (mg/L) (mV) (ppm) <br /> s� �- ' . _ , -t- <br /> LABORATORY INFORMATION <br /> SAMPLE SO {x) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> e- <br /> 2- <br /> Z rJ,01 A .r . . 8Z60!�6 dxV ak,,P <br /> f I4,, b,- 7-p#D <br /> COMMENTS <br />