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i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Tose-a <br /> Facility # ��56 Job#: _! D 13 4- <br /> . Address: _ZjR / 6&-37' f9ord_-ld, Date: 3�?r S-15 S _ <br /> City: Sampler: <br /> Well ID — �`I�� sA -_ Well Condition. <br /> Well Diameter Hydrocarbon Amount Sailed <br /> Thickness (product/water) — i�1 <br /> Total Depth Z 2•�o f, <br /> Volume 2" =0.17 3" = 038 I"=0 66 <br /> Depth to Water <br /> S Factor(V ) 6" = 1.50 12"=5 80 <br /> �r <br /> rL' y X VF u`!T Z 4Fg X 3 (case volume) = Estimated Purge Volume g 6 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposable B ile <br /> Stack Sai e <br /> uction Pressure Bailer <br /> run fos Grab Sample <br /> Other Other <br /> *StartingTTime Weather Conditions L <br /> Sampling Time Water Color <br /> Odor A/Z) <br /> Purging Flow Rate Sediment Sediment Description <br /> Did well de-water? if yes, Time Volume r.,Ai s <br /> Time Volume pH Conductnnty Temperature D O ORP Alkaluuty <br /> p hoVcmY1ze2> •¢ "0-0 (mg/L.) (mV) (PP-) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (4) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> HAI- 5-b 3 i/b 4tf J s� •�e~-cs. 7-N6, ei->v MrB� <br /> t/4A Y <br /> COMMENTS. <br /> sn7.e414.e t. <br />