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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> lientl "fir cct _ <br /> acility #--f!f - Job#: <br /> Address: q-31 EDate: <br /> ' <br /> City: C-jmvn Sampler: <br /> Well ID Well Condition: c,- <br /> Weil Diameter Hydrocarbon Amount Balled <br /> Thickness' (product/water) � <br /> Total Depth U d volume 2" = 0 17 3" -0.38 4" = 0 Fib <br /> Depth to Water <br /> Factor(VF) 6" — ISO 12' = 5 80 <br /> J <br /> Z 5"4 3 X VF X 3 (case volume) = Estimated Purge Volume z <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment. sable Bafler <br /> Stack Bailer <br /> Suct Pressure Bailer <br /> CC�rundf Grab Sample <br /> er Other <br /> Starting Time Z" Z _ Weather Conditions — <br /> Sampling Time L; — Water Color Odor <br /> Purging Flaw Rate A 2--=M. Sediment Description <br /> Did well de-water? If yes, Time Volume _ {ate <br /> Tune Volume pH Conductnntyy Temperaturer D O ORP Alkaluuty <br /> � <br /> (gaL) zoW 4 (mSR-) (mv) (ppm) <br /> 2 28 ; _ 36d z - <br /> 34 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 {#) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> U_ 3 Ifd �} }<i Se a MTBE <br /> . COMMENTS. <br /> ffl7-MId�4� <br />