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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Job#. <br /> Facility U�'` '� �' <br /> Address.. 7mm 406- Date a Z(� d <br /> City. L�-� Sampler. _ <br /> Well ID UWell Condition <br /> Well Diameter Hydrocarbon Amount Balled <br /> Thicknessl4feet (productlwaterl alk ns <br /> Total Depth Volume 2" = 0 17 3' = 0 38 4'= 0 66 <br /> •S Factor(VF) - 6" = 150 -12" = 5 30 <br /> Depth to Water tt <br /> X VF X 3 (case volume) = Estimated Purge Volume foal 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: Disposable Bailer <br /> _ Stack Balser <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other: <br /> Starting Time Weather Conditions C Lo i 6o <br /> Water Color -- - - - - --Odor -- ---- -- -- -- <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? If yes, Time Volume [gal) <br /> Time Vol e p Conducuvrry Ternperatu DO ORP Alkaiusa <br /> r <br /> LABORATORY INFORMATION <br /> SAMPLE iD (A1 - CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> 1 <br /> COMMENTS. MAJL3e ` <br /> 4 <br />