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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility _U 1U OC,At_ Jab#/. agong-4 — — <br /> .Address: _q3: yA WoIZ AVS Date <br /> City_ Sampler: �7 I <br /> Well ID Q—2{ Well Condition OK- <br /> Well <br /> K- <br /> Well Diameter to Hydrocarbon Amount Bailed <br /> Thickness (Lee-ti {product/waxed Gallons <br /> Total Depth _L d' fL Volume 2'= 0 17 3' =0 38 4" =0 66 <br /> 27� D Factor(VF) 6" = 150 12" = 5 30 <br /> Depth to Water sT <br /> 2"t X VF L!5cWX 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment Disposable Bailer <br /> Stack Bailer <br /> Suctio Pressure Bailer <br /> rundfo Grab Sample <br /> er Other c,m /'� <br /> Starting Time Lt- - Weather Conditions Leg <br /> Sampling Time ct - Water Color Odor G <br /> Purging Flow Rate 3 m Sediment Description <br /> Did well de-water? 91D if yes, Time- Volume I <br /> Time Volume pH Conductivity Temperature DO ORP Alkalinity <br /> (ga]) urnhos/cm ^F (mg/L.) (mV) (ppm) <br /> -7 3�. <br /> 32— <br /> 3 �� <br /> t if,til wt-- <br /> LABORATORY INFORMATION r <br /> SAMPLE 10 {#)- CONTAINER REFRIG PRESERV TYPE i' LABORATORY ANALYSES r <br /> U —14 S*y V d f} Y SEQUOIA TPFi1G)Anei1mtbe <br /> COMMENTS. <br /> s <br /> arsr�.wrhm <br />