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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ U h a ea� <br /> Facility # o g Job#• z DC S <br /> Address n of - Date: 3 g <br /> City: G Sampler: 1s <br /> Well ID Well Condition C <br /> Well Diameter L 'a Hydrocarbon Amount Balled <br /> Thickness - (product/water) si-1 <br /> Total Depth f* Volume 2" =O 17 3"=033 4" = 0 66 <br /> Depth to Water _ 3C 6 LtL 3tFactor(VF) 6" = 150 12" 5 80 <br /> X VF J = 3^}�X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bader Sampling <br /> Equipment: Bailer Equipment: isposable Bailer <br /> Stack Ba!er <br /> Su !on Pressure Bailer <br /> Grund os Grab Sample <br /> Other Other <br /> Starting Time t7, z e,- Weather Conditions �Yh--y <br /> +n Time Sampling '/ —�T,•.• <br /> p 9 � Water Color Odor&n _ <br /> Purging Flow Rate ? gprn Sediment Description <br /> Did well de-water? If yes, Time Volume l,.p+ 1 <br /> Time Volume pH Conductrnty Temperature D O ORP Alkalinity <br /> (921) umhoslcm)(Iat (mSR•) (mV) (Ppm) <br /> sz� 6-6 -1 <br /> 4 3 64 D <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 3 yA.4 Ile,I S� u�c�t PtIG �T EX/MT[3� <br /> r / Pas -t ffL S G'`� I►li trio c� •1'rr ,�a ram <br /> .COAAS `r � <br /> �, ''e rra /rLl r <br />