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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # �' S �B Job#: <br /> Address: r,✓est M Date: <br /> Cly: � Sampler: <br /> Well ID - 6 S well Condition: 64- <br /> -Well Diameter _ 2. t^ Hydrocarbon Amount Bailed <br /> Thickness: a " i Iproductlwater): <br /> Total Depth volume Z•-0.17 9" 038 4' -046 <br /> Depth to Water <br /> o Factor(VF) I•- 1.50 ><z•-s.so <br /> `r X VF X 3 (came volume) � Estimated Purge Vdume: _`{• S! �.,.+ <br /> Purge Disposa Is Bails Sampling <br /> Equipment: er Equipment: Disposable Baile <br /> Stack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other. <br /> Starting Time: 09 3,-':) Weather Conditions: <br /> Sampling Time: _,_ OQ 3"0 Ldke4' Water Color: a IL-a. 1 0 or:_"-'C <br /> Purging Flow Rate: GPM Sediment Description: <br /> Did well de-water? '"w If yes; Time: Volume; <br /> Tome Volume PH Cor&ductivW Tempcmbwe D.O. ORP Anmlinity <br /> {8�) wohowlcm (MIO-) 0mVI (PPM) <br /> 6 0 <br /> LABORATORY INFORMAMON <br /> SAMPLE In 49)- CONTAINER REFRIG. PRESERV,TYPE LABORATORY ANALYSES <br /> IwW✓SOS 5- x VVA NI/iL srezuo1 A T MTO <br /> COMMENTS; <br />