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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ tt" ac et r <br /> Facility # Job# <br /> Address _ q3,� 60.6 � .Afa= _ Date: 3 2 99' -- - - - -_ <br /> City: S' -��r. Sampler: -/Cs., - - - -Well ID _ U Well Condition- <br /> Well Diameter in Hydrocarbon Amount Bailed <br /> Thickness (product/water) 96 foal I <br /> Total Depth fr. Volume 2"m 0 17 3"=038 4"= 0 66 <br /> Depth to Water ft Factor(VF) 6"= 150 12"= 5 80 <br /> X VF = X 3 (case volume) = Estimated Purge Volume ioaf.t <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 Water Color Odor 1 <br /> Purging Flow Rate gam- Sediment Description <br /> Did well de-water? If yes, Time Volume <br /> Time Volume PH Conductmty Temperature DO ORP Alkaluuty <br /> (Sal) µmhos/cm -C (mg/L) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (p}. CONTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br /> COMMENTS. a 6 A: i- <br /> vj174%w.trm, <br />