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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Unj2 Job## �zROO Y,s _ <br /> . Address- /, w Date: / o <br /> City. _ &21 _ Sampler- i� <br /> Well ID Well Condition ox— <br /> Well Diameter �n Hydrocarbon Amount Bailed <br /> Thickness 6 -0C> (feet! (product/watery (Gallons) <br /> Total Depth K—ft Volume 2'=0 17 3" = 038 4" = 0 66 <br /> Factor(VF) 6" = 150 12'= S SO <br /> Depth to Water h <br /> 77 X VF P• =- 3 � 3 (case volume) = Estimated Purge Volume ��•� [aa1 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment Disposable Bai r <br /> 4tac ai <br /> action Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time 14,L42252 Weather Conditions e,/e-,— e— <br /> Sampling Time 22� _ ___ Water Color Odor: <br /> Purging Flow Rate I�� m Sediment Description <br /> Did well de-watery If yes, Time- Volume +aal.l <br /> Time Volume pH Conductivity Temperature DO ORP Aikal,tmity <br /> e'v d al 3 - C� pt{;)ioskm �F (m&(-) (mV) (PP-) <br /> LABORATORY INFORMATION ` <br /> SAMPLE 10 (!f1 - CONTAINER REFRIG PRESERV TYPE �' LABORATORY ANALYSES <br /> U_I_ S Y V.0 Y Ff G SEQUOIA T>aH(G)/latex/rritbe-t6a <br /> COMMENTS <br /> i <br /> ais,�i.ie.crm, <br />