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WELL MONITORINGISAMPLING I d <br /> FIELD DATA,SHE r w <br /> � <br /> Client/ 41"0 <br /> r <br /> -o- a1 S�` _ Job#: <br /> Facility , <br /> Address- }' t Date: " , >If�a�v0` 111t�a . <br /> CftY= Sampler: <br /> Well ID Well Condition: 'ok <br /> Well Diameter !n, Hydrocarbon ' Amount Batled <br /> [� QThickness: — �tua (Product/waterl: (Galton- <br /> TotalDepth I y f O volume' 2'—0 17 3"—038 4•=0 66 µ <br /> Depth to Water <br /> Z �� Factor(VF) 6"a 1.50 12"a 5.80 <br /> X VF X 3(case volume) n Estimated"Purge Volume: foal-1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable,Bailer <br /> Stack Bailer ' <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other- <br /> , n <br /> 'Starting Time. _ Weather Conditions: <br /> Sampling Time: Water Color: Odor- <br /> Purging Flow Rate: Sediment Description. <br /> Did well-do-water? - =_ - _ - -= if yes;= Time: <br />