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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ U0 a e4/ <br /> leac(lity # o/8:�- Job#• Z goe C/--.5-- <br /> Address: <br /> SAddress: q-.37 Lid n e-f ,-- Date: 3 g <br /> City: ��_�k--�a-n Sampler: 1a liz s <br /> Well 10 _ - Well Condition <fv-0 <br /> Well Diameter 2- in- Hydrocarbon Amount Bailed <br /> Thickness- Ln- (productlwatarf _ fnAl-i <br /> Total Depth Sy t S ft- Volume 2" =0 17 3" =0-38 4"- 0 66 <br /> Depth to Water <br /> Z y ft Factor(VF) 6* - 1-50 12" = 5 80 <br /> X VF h lX 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposable Bailer <br /> Stack Bai er <br /> Su ion Pressure Bailer <br /> Grund os Grab Sample <br /> Other Other <br /> Otarting Time tie, `i 1 Weather Conditions fl--X A <br /> Sampling Time _r Z , l - Water Color Odor ^� <br /> Purging Flow Rate f� nnm Sediment Description <br /> Did well de-water? Az If yes. Time Volume ?� <br /> Time VOlume pH Canductrnty Temperature D O ORP AUmU ty <br /> pri hos/cnx/Ca '9F� (mPL) (MV) (PPM) <br /> I1 <br /> q9 �� -4 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (#j - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y6'} EX/MF3 <br /> z Vth- xy u:r-� <br /> .r / Pas -c- -t /fL S C t1L 4 11/i eA 14 A"'t-2 <br /> 1`-AlO 3 4 Gia S cC� <br /> r .� >�e I rDr✓ s /r•d <br /> T0s /4Ik ,Pan/ A - <br /> 9197 n ki4t f"" <br /> w <br />