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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> 4facillty# Y�2t-n�� ��� Job#: �O <br /> Address: Z• Date: -5'-// az ; y,r <br /> City: Sampler: v-f--' <br /> Well ID m Lj l Well Condition: jl-� <br /> Well Diameter Hydrocarbon Amount Balled <br /> Thickness: �f �� a Iproductlwater)' <br /> Total Depth _ ��"-� t+. q <br /> Volume 2'- 0.17 3"a 0.38 4"— 0 66 <br /> Depth to Water <br /> �y, ,� ? Factor(VF) 6" 150 12' = 5.80 <br /> _ 7 *�: <br /> �'S 3 X VE d _��• 47 X 3 Icase volume) a Estimated Purge Volm": <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: sposab a Bailer <br /> Stack Belief <br /> SiLglion Pressure Bailer <br /> Grundf - Grab Sample <br /> other: Other: <br /> �torting Time: 136 Ts _., Weather Conditions: <br /> Sampling Time: ��,3`F s��yf� Water Color: Odor:-- /1:;b _ <br /> Purging Flow Rate: _ anm. -Sediment Description: <br /> Did well de-water? -- If yes; Time: Volume: <br /> Time Volume pN Conductivity Temperature D.O. ORP <br /> ( .) 6,2 Eernh N m Alkaiixdty <br /> ( F/Z-) (mom (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 1#1- CONTAINER REFRIG PRESERV. TYPE LABORATORY ANALYSES <br /> rp LJ-- 17- A VOA VIAL y ACL SEQUOIA TPHIG)AneWmtbe 4 a Ys <br /> �MMENTS: <br /> arae-f�.w.i em <br />