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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ent/ U,e,e-�t/ <br /> cliity # �1 B�- Job#: <br /> _ Address: 5/32- r Date: <br /> City: �5c,� n Sampler: . Lam' <br /> Well ID U~ Well Condition: eit <br /> Well Diameter L Hydrocarbon Amount Bailed <br /> Thickness (product/water) <br /> Total Depth �* <br /> volume 2" = 0 17 3" = 0.38 4" = 0 66 <br /> Factor ff�) 6"- 150 12" 5 80 <br /> Depth to Water <br /> Z X VF X 3 (case volume) — Estrmated Purge Volume 9 <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bader Equipment: +sposab a Bailer <br /> Stack Baiter <br /> Suc Pressure Bader <br /> Grab Sample <br /> Other Other <br /> erting Time Weather Conditions <br /> Sampling Time _ a Water Color G Odor <br /> Purging Flow Rate �~ aam__ Sediment Description <br /> Did well de-water? If yes, Time Volume - (gaLl <br /> Time volume pH Conductivity Temperature DO ORP Alkalimty <br /> Amhos1cmX/8 - -o <br /> 69 , Z_ _ <br /> LABORATORY INFORMATION <br /> SAMPLE ID {#) - CONTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br /> elf) ffC jTPf�G/972 Iy/ r7B6- <br /> �QMMENTS: <br /> snr n.+e.alnw <br />