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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> • Facility# I-c�rtir�C2 , U �L1Cf��. bl�'7 Job#: <br /> Address: M, n r t Date: o <br /> City: �� �k�` - Sampler: <br /> Well ID U C3 Well Condition: &FT-f-- <br /> Well Diameter In. Hydrocarbon Amount Bailed <br /> Thickness: 0'� (feeg (productlweter); <br /> Total Depth _�.. �, ft- Volume 2'=0 17 3'a 038 4'a 0 66 <br /> Depth to Water <br /> Factor(VF) 6"- 1.50 12'=5 80 <br /> �g � � tt. <br /> • X VF [�_, 3 (case volume} - Estimated Purge Volume: _T* (001.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> run s - Grab Sam Ie <br /> Other: Other: 5 r^ <br /> Starting Time: i S Z Weather Conditions: <br /> Sampling Time: /� `J— Water Color: dor: t� <br /> Purging Flow Rate: /• nom. Sediment Description: i <br /> Did well de-water? If yes; Time: Volume: __ (001-1 <br /> Time Volume PH Conductivity Temperature D.O. ORP Alkalinity <br /> (gslNmhoshm •F7 (mr/P (mV) (ppm) <br /> - i3_ to 7 <br /> — 7 6 - <br /> LABORATORY INFORMATION <br /> SAMPLE (D CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> U-2 6--X VOA VIAL Y HCL SEQUOIA TPI IMAtexlmtbe <br /> •COMMENTS: <br /> 81974ifwat+mr <br />