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WELL MONITORING/SAMPLING <br /> Client/ Tos<-z FIELD DATA SHEET <br /> Facility # X 86 Job#: Z90 / <br /> Address: 01 >r1°ixf )`4erCAA�., � Date: 3 Z r 8 <br /> City: IS 4n cl7t6 n Sampler: <br /> Well ID — Well Condition <br /> Well Diameter in Hydrocarbon Amount Bailed <br /> Total Depth <br /> Thickness (product/water) <br /> _ Z3 40 ,� <br /> Volume 2" -0 17 3"m 0.38 4" = 0 66 <br /> Depth to Water Factor CVF) 6"= 1.50 12" = 5 80 <br /> �b X VF P-JA =-213 X 3 (case volume) = Estimated Purge Volume _ f T419.0 <br /> Purge Disposable Bader Sampling <br /> Equipment: Bailer Equipment: rsposable Bailer <br /> Stack Bailer <br /> Suctio Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time _�3 Weather Conditions <br /> Sampling Time SO <br /> _ Water Color e-L A2� Odor A-"�� <br /> Purging Flow Rate __. 1 ?ate- Sediment Description <br /> Did well de-water? If yes, Time Volume <br /> Time Volume pH Conductivity Temperate DO ORP Alkaluuty <br /> (gal) AMhoslanI 0.:D ^�/� (mg/L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> M Golf 3 V'�q AGI S� 7p� SFX/yTaF <br /> << Z ► r `C SL6o s]a . az, <br /> ---------------- <br /> COMMENTS <br /> 9n7 IlaW.t f"" <br />