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WELL MONITORINGISANIPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facil)ty 0011— Job#: <br /> Address: `l 3453, Kale e. Date: - <br /> City: 9 gt� Sampler: ' <br /> Well ID (AV— Well Condition a <br /> Well Diameter in. Hydrocarbon Amount Bailed <br /> Thickness. __ tee iproduct/water): llon <br /> Total Depth 7Z`'"ts= Volume 2•= 0 17 3" - 038 4" 0 66 <br /> Factor(VF) 6"= 150 12"= 5 80 <br /> Depth to Water Z�`6-r-n• <br /> N ! X VF X 3 (case volume) se Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment Disposable Bader <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time WeaTher Condstions <br /> Sampling Time Water Color Odor <br /> Purging Flow Rate C113rn Sediment Description <br /> Did well de-water? if yes, Time Volume Icial <br /> Time Volume pH Conductivity Temperature D O ORP AL aluuty <br /> (gal ) umhoslc nfto •F (mg/L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID lff) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> tex/mibe <br /> COMMENTS- M dr 6 e7 <br /> • <br /> .�. srsy newel tri+ <br />