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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ � <br /> Facility # Job#: <br /> Address: Date: z//3/9,' <br /> City: s '��1_6 Sampler: ✓�7J_/Z-< 1 <br /> Well ID 41- 3 Well Condition <br /> Well Diameter Z Hydrocarbon Amount Bailed <br /> Thickness �T+- {product/water) foal S <br /> Total Depth - - '` volume 2"=0 17 3" =0.38 4"=0 66 <br /> Depth to Water 30• 7-Z--ft- <br /> Factor(VF) 6"= 1.50 12"= 5 80 <br /> - <br /> 2 3-52 X VF��� _ a )X 3 (case volume) - Estimated Purge Volume %7.10- <br /> Purge <br /> OPurge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment Disposable B— a <br /> Stack a� er <br /> Suction Pressure Bader <br /> grundfo Grab Sample <br /> er Other <br /> Starting Time 3.• 3 f Weather Conditions 6W4 <br /> Sampling Time C// Water Color 4lGlsii s A Odor <br /> Purging Flow Rate opco Sediment Description <br /> Did well de-water? If yes, Time Volume <br /> Time volume pH Conductivity Temperate DO ORP Alkaluuty <br /> (gal) µmhoS/cm}1zr'_- (MWL) (mV) (Ppm) <br /> 3.3,4 4- <br /> 3: 33 <br /> -3: 33 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (#)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> u- 3 -3 y G1 Gd•G TW61r.rrx1H7-E <br /> COMMENTS: <br /> 9197-rirld"t fnn <br />