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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ � <br /> Facility .lob#: <br /> Address• L/33 Date: Z-//3 <br /> City: S Sampler: <br /> Well ID U✓— Well Condition <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness (product/water) <br /> Total Depth qy Volume 7" =0 17 3" =0.38 4" — 0 66 <br /> Factor(VF) 6" = 1.50 12" =5 80 <br /> Depth to Water 2 � � <br /> X VF = X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other- <br /> Starting Time Weather Conditions <br /> Sampling Time <br /> Water Color Odor SOr ' <br /> Purging Plow Rate Sediment Description <br /> Did well de-water? if yes, Time Volume {R <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluuty <br /> ($�) Fcttti;losJcm -C (mgiL) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE la {p} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> COMMENTS 76 he Gn r fire of <br /> 9197 1ldd.T lern <br /> 1 <br />