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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Tient/ <br /> Z/,,,;C41 <br /> Facility # / Job#: SaL� <br /> Address: �=�� �c_rf Hi� Date: z 3 <br /> City- SA- Sampler:Sampler: <br /> Well ID �' `f' Well Condition. 0-t- <br /> WeII Diameter Z Hydrocarbon Amount Bailed <br /> Thickness (product/water) (gaLi <br /> 16 <br /> Total Depth cft <br /> Volume 2" = 0 17 3" =0.38 4" = 0 66 <br /> 31 fr gar(VF) 6" = 1.50 12" = 5 80 <br /> Depth to Water me <br /> � ���� �Z/� <br /> Z 2 l~1 X VF /± = 3 �� X 3 (case volume) = Estimated Purge Volume _ , <br /> nLQa1.1 <br /> Purge Disposable Bailer Sampling --77--, <br /> Equipment: Bader Equipment: is oosable aa�I <br /> Stack Bader <br /> Suction Pressure Bailer <br /> nun os Grab Sample <br /> Other Other <br /> Starting Time _ L'E Weather Conditions war <br /> Sampling Time •3 Water Color Odor <br /> Purging Flow Rate l- �,n.t,_ Sediment Description <br /> Did well de-water? _ If yes, Time _ Volume <br /> Time Volume pH Conductrvity Temperature D O ORP Alkaiuuty <br /> ($�) A—hosb=n)(sty .0�a (m8/L) (mV) (ppm) <br /> & 2 1 �31C } <br /> 699 <br /> LABORATORY INFORMATION <br /> SAMPLE ID ( ) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> rfk-S147-e- IRI-Sc <br /> COMMENTS <br /> s97 fl-i"t t" <br />