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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ ! Jobb: Z ��`� `f — • <br /> Facility , <br /> Address: <br /> 3 � Ec�.s 7� � .Qin _ Date: <br /> City: Sampler: ZaLf - <br /> Well ID �— Well Condition: <br /> well Diameter y Hydrocarbon - _ _ -Amount Bailed <br /> Thickness: (product/waled*. <br /> Total Depth :7-1` Volume Z'=0.17 r a.038 r = 0.66 <br /> Z 7. (a z ��) = ISO 12 =5.80 <br /> Depth to Water p� <br /> ��' • X VF �'j .. r�X 3 (case volume) = Estimated Purge Volutm: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: i osable B er <br /> Stack 'Bailer <br /> Suction Pressure Bailer <br /> Grab Sample <br /> Other. _ Other•. <br /> Starting Time: ! L Weather Conditions: <br /> Sampling Time: 3-C- ri aI) Water Color; Odom . <br /> Purging Flow_Rate:_ Z Tgprn_Y __Sediment Description:__ - <br /> Did well de-water? 1W if yes: Time: Volume: <br /> Time Volume PH Conductivity Tenpembue D.O. ORP Alkalinity <br /> (gat) - �u`►t`°sl� OF (mg/L) (MV) (PPM) <br /> f �� _ b 6 S <br /> 8C> 66 S <br /> LABORATORY INFORMATION <br /> SAMPLE 10 -(#)--CONTAINER- --- REFAIG• _ ---ERESERV.TYPE LABORATORY ANALYSES <br /> C-1— <br /> 6-x V VA v,A%.- `� ►-1`� -r n+TD <br /> Nty 1 8Z6 <br /> COMMENTS: <br />