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i I <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 3 $r1x- <br /> Facility Job# <br /> Address: 66 33 P W�� SIC AVE. Date: ka� <br /> Clty. S-T-Ocwl—b P- —G+A Sampler: <br /> Well ID / ll� Well Condition - <br /> Well Diameter _ in, Hydrocarbon r� Amount Balled <br /> Thickness —�JILe-e-tj Iproduct/water): __ _ (Gallon,§) <br /> -Total Depth -- �o`~�� n a -volume 2" - o 17 - 3" = 038 - 4"L= 0 66 -- <br /> �, / Factor(VF) 6" = 1 50 12" = 5 80 <br /> Depth to Water <br /> /�• 7 X VF X 3 (case volume) = Estimated Purge Volume ` (not) <br /> Purge Disposable Bailer Sampling <br /> Equipment. Ba Equipment: <��e <br /> r <br /> Stack <br /> n Pressure Bader <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time <br /> ? Weather Conditions <br /> ... <br /> Sampling Time Water Color C11 e. dor P D <br /> Purging Flow Rate Sediment Description <br /> Did well de-water? - if yes, Time -Volume <br /> Time Volume pH Conducuvity Temperature DO ORP Alkaiuuty <br /> (gal) µmhos/cmxlDD OF _(m$(-) (mv) (ppm) <br /> f� c <br /> LABORATORY INFORMATION <br /> SAMPLE 10 1#1 - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> _IN Ir X1�D111 V1AL Y C.I.. Lr •uar/ T�PttV <br /> COMMENTS. <br /> 9r97 MOM inn <br />