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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Job# <br /> AddreDate / ►3/`�� - <br /> City Sampler: <br /> Well ID U� Well Condition D <br /> Well Diameter Hydrocarbon Amount Balled <br /> Thickness (product/water) <br /> Total Depth may' J fr Volume 2" - 0 17 3" =038 4" 0 66 <br /> Factor(VF) 6"- 1.50 12" = 5 80 <br /> Depth to Water z�l 91-ft- <br /> Z y•Z X VF � = T,�Z X 3 (case volume) = Estimated Purge Volume- I L' Lhb.l j <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer EquipmentDis osab a Ba <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> rand Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions �+✓�e f <br /> Sampling Time �J Water Color _ �-� - Odor k^V <br /> Purging Flow Rate �y Sediment Description <br /> Did well de-water? /vim if yes, Time Volume - -- --- -farm 1 <br /> Tune Volume PH Conductivity Temgeratti e DO ORP AUWuuty <br /> (gal) umhos/cmXl,5+D ^¢` (mg/L) (mV) (PPM) <br /> : i3 CILP 6 -� s9z 6 <br /> Y2 S- --W A8 <br /> 3 4z- L 6 <br /> 609 <br /> LABORATORY INFORMATION <br /> SAMPLE IO (all}- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Tex Lqrs <br /> COMMENTS <br /> 9197-fi�ld+t fpm <br />