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WELL MONITORING/SAMPLING ' <br /> FIELD DATA SHEET <br /> Client/ 3 $�t21 <br /> Faculty .. � .� � i1 t — Job#• • <br /> Address: <br /> �r4ci �3c AJC. Date: <br /> City; S---exv.,r_&N— Sampler• <br /> Well ID w '-3 — Well Condition C <br /> Well Diameter <br /> ,n. Hydrocarbon Amount Bailed <br /> Thickness tioAti (nmedl ctlwaterl: IGallonsl <br /> - Total Depth_ _ tY. _ Volume -_ 2" = 0 17 _ 3" _,0 38 ;_ 4" = 066 - <br /> Factor(VF) 6- = 150 12" = 5 80 <br /> Depth to Water <br /> X VF = X 3 (case volume) = Estimated Purge Volume (cat ) <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 <br /> Purging Flow Rate m Sediment Descriptio <br /> Did well de-water? - -If-yes, Time Volume. al <br /> Time olume - pH - - Conducuvaty Temperature mO Alkalnu r <br /> (gal} µmhorkm S/t-} {mV) <br /> LABORATORY INFORMATION <br /> SAMPLE ID Ipl - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> --- ori ViAL Y -- <br /> O S b Z Lp <br /> COMMENTS- a r(k • <br /> oar <br /> 9197 fMldal Irm <br />