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1 r <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ Che Vr0n 3� 5 1 <br /> Facility# I Job#: - <br /> Date:-- <br /> City: cp Sampler: <br /> Well 11] Well Condition: <br /> , <br /> Well Diameter Hydrocarbon Amount Bailed, -L�l <br /> Thickness: jlqg (productlwaterl: <br /> Total Depth { volume 2"-0.17 3"-0.38 4'=0.66 <br /> Factor(VF) 6"= 11.50 I2"=5.80 <br /> Depth to Water �� /� <br /> X VF = d'X 3 icase volume) - Estimated Pwee Volume: <br /> Purga/"� Disposable Bailer `" Sampling <br /> Equipment• B Equiprtent: isposable Bailer---", <br /> • Sta Bal e <br /> coon Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: - Other: <br /> Starting Time: b ' Z� Weather Conditions: SCrn <br /> �� Water color: '� Odor: P� <br /> Sampling Time: -3 ._ <br /> Purging Flow Rate• u---� Sedlment-Description:=-- - -- <br /> Did weil de-water? - 00 --H_y_es;—Time: -- _ --Volume: <br /> Thum Volume - PH =- Conducts lty - Tempevatute D.O. ORP AlluHnity <br /> 10 ro%�Cfn (MA) (XR') (Ppm) <br /> r <br /> r� <br /> LABORATORY INFORMATION <br /> SAMPLE 10 101 - CONTAINER REFRH3. PRESERV.TYPE LABORATORY ANALYSES <br /> MW— VOA V IAL Y HCL SEOUOIA TPH1G)1btexlmtbe <br /> COMMENTS: <br /> a�sraiaaw�n <br />