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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ r <br /> Facility#_ 1'`rC 1f)"z Q D Z� -1-11� W W�5) Job#: <br /> Address: 1�-.� �F • Date: 1 e>i y • <br /> City: „S`� ���� `� C. _ Sampler: V <br /> Well ID m 41 Well Condition: <br /> Well Diameter Hydrocarbon _ Amount Bailed <br /> r <br /> Thickness: �� z) feet! (productlwaterl; <br /> Total Depth _ S"S• 3_� ft I <br /> Volume 2'- 017 3*- 0,38 40- 066 <br /> Depth to Water Factor(VF) 6"= 1,54 12'- 5 80 <br /> IL (J.-:71 m <br /> X VF ��l�� � X 3 (case volume) a Estimated Purge Volume: - <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: <br /> Stack Bailer <br /> ucti Pressure Bailer <br /> Grund#os - Grab Sample <br /> Other: Other: <br /> Starting Time: i Z 11 Weather Conditions: <br /> Sampling Time: Water Color: Odor: <br /> Purging Flow Rate: -Sediment Description: <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume PH Conductivity Temperature D.O. ORP <br /> (mg/L) <br /> ' Alkalbft <br /> (mV) (PPM) <br /> �-- -s� / <br /> -- 6 <br /> -� ------� ---yam.. <br /> LABORATORY INFORMATION <br /> SAMPLE ID (A'). CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> )rnlX VOA VIAL Y RCL SEQUOIA, TPH(G)/btex/mtbe <br /> COMMENTS: <br /> • <br />