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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> acility4lp Job#: <br /> Address. Date: �f3�d <br /> City: Sampler: 1 <br /> Well ID m W — Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: Z> = L� (feet( (product/water): <br /> Total Depth fl, to <br /> Volume 21- 0.17 3'R 0.38 4' 0.66 <br /> Factor(VF) 6'- 150 ]z'= 5 80 <br /> Depth to Water _ �-� •�� +i• <br /> _ 12"K A-3 X VF Q;, )—C!:!!r 7 X a (case volume) a- Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable icer <br /> St Bailer <br /> Such Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> .tarring Time: ��Z I Weather Conditions: ell),, <br /> Sampling Time, �O �j��/r`�w� Water Color: Odor: x,--Z <br /> Purging Flow Rate: _ f. eQm• -Sediment Description: <br /> Did well de-water? if yes; Time: Volume: <br /> rime Volume pH Conductivity Temperature D.O. OAP Alhalhdtty <br /> (S�•) wmhCWc n eF (mgJl,) (mV) (PPM) <br /> 0 12 <br /> — —' -mss -71 <br /> LABORATORY INFORMATION <br /> SAMPLE 1D (#I- CONTAINER REFRIG. PRESERV. TYPE --° LABORATORY ANALYSES <br /> m(„}-.• �p �7 X VOA VIAL Y HCL SEQUOIA TPH(GUbtex/mtbe <br /> �MMENTS: <br /> 9197-+efts ftm <br />