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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ 0-VkEV2OtJ <br /> sp Cility <br /> _ Q- 4 '1 i .. Job# 3 $ 12 i <br /> _A <br /> Address: 611 33 P 1401 Ell Aft- Date: �t��I( e{ <br /> City- STacrcTD N GA Sampler: <br /> Well ID Well Condition: O <br /> k <br /> Well Diameter _ _ _ . Hydrocarbon —er-- Amount Bailed�_ <br /> Thickness Ifeetl (product/water) (Gallons} <br /> Total Depth [� tt Volume 2" = 0 17 3" = 0 38 4" = 0 66 <br /> Depth to Water �_ <br /> � r Factor(VF) 6" = I 50 12' = 5 80 <br /> _ -- - <br /> �P• X VF _ X 3 (case volume) = Estimated Purge Volume laal.l <br /> Purge Disposable B filer Sampling <br /> Equipment. Equipment. (:jDispos;ab:1Der <br /> Stack r <br /> Stiction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Otarting Time r 6 Weather Conditions '-' <br /> Sampling Time LN Water Color Odor n <br /> Purging Flow Rate n+ Sediment Description i <br /> Did well de-water? N� If yes, Time Volume. laal.l <br /> Time Volume PH Conductivity Temperature D O ORP Allcahruty <br /> (gal ) temhos/cmK100 aF (mg/L) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> X4011 VIAL Y CL ,LRrvc.4r "TffAt, 13TU I MT@£ <br /> q 0:S b tzo <br /> OOMMENTS- <br /> 9r97 <br /> rn at hm <br />