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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 3 sf r l 2 <br /> Facilityf_ Job#. I <br /> Address. &(g AVE- Date; <br /> C-lty• ST-acv---'o-N GA Sampler• _ A4,� <br /> Well ID Well Condition <br /> Well Diameter m. Hydrocarbon Amount Balled <br /> Thickness Ifeet (Product/water) (Gallons) <br /> Total Depth _ _ft _ Volume ,2"= 0 l7_ 3-- 038 4" = 0 66 <br /> Factor(VF) 6" = I 50 12" = 5 80 <br /> Depth to Water 1Y <br /> X VF — X 3 lcase volume) = Estimated Purge Volume (aal.) <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 Descnp n <br /> Did well de-watery - If yes, Time- = Volume + <br /> Time Volu pH Conductivity Temperature D O ORP Alkaluuty <br /> { µmh"cm p0 OF (m (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 Ip) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> Y -- <br /> 'S b 21.0 <br /> COM ENTS Gej,lr .4r <br /> L� <br /> 6-1 'P- -152 /Q121 <br /> 9J97 fhld�i irtn <br />