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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Wilent/ z.1'7ac.G/ <br /> Facility Job#. Z ° `'`_r- <br /> Address. `l3�- Ecus Mu,tr .^� Date: <br /> City- � Sampler- <br /> Well 10 U- I Well Condition U~—A <br /> Weil Diameter Z _ Hydrocarbon Amount Bailed <br /> Thickness - (product/water) <br /> Total Depth S1. 2.� <br /> Volume 2" = 017 3" =0.38 4" = 066 <br /> Depth to Water 3 3(c fz Factor(VF) b" = 1.50 12" = 5 80 <br /> / 9 c? 1 X VF 3 3'9 X 3 (case volume) = Esnmated Purge Volume <br /> Purge Disposable Bader Sampling <br /> Equipment: Bailer Equipment- lsposable B ler <br /> Stack Say Ter <br /> Suction Pressure Balser <br /> rU—n—dTo� Grab Sample <br /> Other Other <br /> Starting Time 1 ! Weather Conditions �2rC - <br /> Sampling Time + `t� Water Color ,,f Odor A,^u <br /> Purging Flow Rate _ arm- Sediment Description /f ---- <br /> Dud well de-water? Alb If yes, Time Volume _ {� <br /> Time Volume PH Conducu%nty Temperature D O ORP A1kahxuty <br /> ($21) mn hoslcm*4 (mg/L) (mv) (PPM) <br /> / - z 3 �- �fc _ •` a62 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 I#) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> u- �i 3 y ff� S�. �•� rP�/C. 8re�x/Mr�r <br /> •COMMENTS <br /> 4 <br />