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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Lino eq <br /> Facility * 4I g7- ... Jab#: Z$04 SLS <br /> • Address: 43-7 Af4. - - .- Date: - <br /> City: SAC� Sampler: - -Well 10 lD Well Condition: <br /> - <br /> Well Diameter .n Hydrocarbon Amount Bailed <br /> Thickness �-1' ffeeT� 1product/waterl' aET ns <br /> Total Depth <br /> (19042? n Volume 2'= 0 17 3" =038 4" = 0 66 <br /> Factor(VF) 6"= 150 12" = 5 80 <br /> Depth to Water 25.y8n. <br /> Fj /4 X VF ( = X 3 lcase volume] - Estimated Purge Volume [aaf.l <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bader Equipment: <br /> Stack Bailer <br /> Suction Pressure Bader <br /> Grab Sample <br /> Other• Other: <br /> • Starting Time Weather Conditions <br /> Sampling Time Water Color Odor <br /> Purging Flow Rate aQm Sediment Description <br /> Did well de-water? X If yes, Time /VA31ume: (gall <br /> Time Volume pH Conducuvity Temperature D O. OAP Alkaluuty <br /> (gal.} / pmhos/cm)(100 .F (mg/L) (mV) (ppm) <br /> f ; <br /> 1 <br /> i <br /> LABORATORY INFORMATION <br /> SAMPLE ID I+rl- CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> la <br /> e <br /> COMMENTS: d n rto✓+ a-at - <br /> M74WULINM <br />