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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ r <br /> Facility-O' 1'<,-'L n1I2 nZ)-1--4 JobM !�dO <br /> *Address: _ �Zo 1��� �A • Date: 5 alb 1-- rmDn r <br /> City: - Sampler: ✓1 <br /> Well ID m W — I Well Condition: 4p, . <br /> Well Diameter Hydrocarbon Amount Bailed <br /> �� Thickness: D, CSz� ie Iproductlwaterl: Il <br /> mail <br /> Total Depth _ tt. Volume 2"- 0.17 3" - 038 4"- 066 <br /> Depth to Water Zy• J-1 ry Factor(VF) 61- 1.50 12" - 5 8o <br /> 6 • Z X VFD� C�X 3 Icase volume} a Estimated Purge Volume: 3 '�a1.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: DAFa�abie Ba er <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> jros - Grab Sample <br /> rOther: " <br /> � 17_ v o tarting Time: _ .. ,.� Weather Conditions: <br /> Sampling Time: ._ J z`f'E-6SIIZ} Water Color: Odor- <br /> Purging Flow Rate; -Sediment Description; <br /> Did well de-water? ad2 „_,, If yes; Time: Volume: <br /> Time Volume pH Conduc"ty Temperature D O. ORP AWalhdty <br /> (gal.) MmkCWCm,y^ ` -- -- - (mg/L) (mV) (pprrti) <br /> 693 <br /> LABORATORY INFORMATION <br /> SAMPLE ID IA1- CONTAINER REFRIG. PRESERV.TYPE - LABORATORY ANALYSES <br /> S—X VOA VIAL Y ACL SEQUOIA , TPHIGi/btex/mtbe+ �x � <br /> �MMENTS: <br />