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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client / Facility <br /> Job#: • <br /> Address: 417 Fqqt Miner Avenue Date: <br /> City: STC CKTnN_ ro _ Sampler: <br /> Well ID (1- ,Well Condition: <br /> Well Diameter Hydrocarbon _ Amount Balled <br /> Thickness t (product/water)' <br /> Total Depth 5?4 Volume 2"-0 17 3"= 038 4"— 0 66 <br /> ��(VF) 6"L+ 1.50 12"= 5 80 <br /> Depth to Water Z�$v <br /> Z X VP h _�� X 3 (case volume) - Estimated Purge Volume: " ) IgAl-1 <br /> Purge Disposable Bailer Sampling <br /> Equipment Ball Equipment: CZ is osable Bade - <br /> �� Bailer <br /> Suction Pressure Bailer <br /> Grund#os Grab Sample w - <br /> Other <br /> Other <br /> Starting Time: r* Weather Conditions: <br /> Sampling-Time - -Water-Calor:- <br />- --Purging Flow Rate:_ _Sediment Description: <br /> Did well de-water? rL�. --- z if yes, Time: Volume. . Joni) <br /> Time Volume PH Conductmty Temperature DO ORP Alkalinity <br /> (gal) umhos/cm (mg/L) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID I►1• CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> V— -x 40m/VOA Y HCL SEQUOIA TPH-G/BTEX/Oxy's-8260 S, <br /> w�-� e d► �o <br /> COMMENTS: <br />