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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET ``rr <br /> Client/ f ] n 11r"1l' �." F 1 g Job#. <br /> Facile2SOO 7` <br /> Facility / -- <br /> Address: 3 V Date <br /> City. C Sampler <br /> Well ID v Well Condition <br /> Well Diameter in Hydrocarbon Amount $ailed <br /> Thickness feet {product/water} allons <br /> Total Depth t� fl- <br /> Volume 2' = 0 17 3" = 0 38 4"=0 66 <br /> . T <br /> Factor(VF) _ b" = 150 12' = 580 -- <br /> Depth to Water ft <br /> X VF = X 3 (case volume) = Estimated Purge Volume (gal I <br /> Purge Disposable Balser Sampling <br /> Equipment Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other: <br /> Starting Time Weather Conditions rr u <br /> Sampling Time - _ __ Water Color _Odor' AD <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water-2 if yes; Time Volume. (sill <br /> Time Volume -=p�I - _-=Conductivity--Lemperaiur ----- -D O = -_- ORP <br /> ty <br /> (sem) pmhos/am .g (m8/L) (mV) (PPM) <br /> LABORATORY INFORION r <br /> SAMPLE ID CONTAINER REFRIG PRESE13V TY / LABORATORY ANALYSES T <br /> COMMENTS. d1`3 <br /> SMlim <br /> i <br />