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WELL MONITORING/SAMPLING <br /> h FIELD DATA SHEET <br /> Client/ <br /> Facility 1�-'-% 2'-n-k"2 Q n Z`,"'Q � °t Job#: <br /> Address: , (�� sl 1�..s� } �Q • Date: _ _S711 <br /> ., <br /> City: _ S `��� `` +—�, _ Sampler: ✓i <br /> Well ID m Lj " 14— Well Condition: ��~r <br /> Well Diameter in, Hydrocarbon Amount Bailed <br /> Thickness, If a ;productlwaterl: n <br /> Total Depth Volume _ 2'= 0.17 9'a 038 <br /> Depth to Water �+- <br /> Factor(VF) 6' 1.50 120-580 9 Q 0.66 <br /> ^_ -}� <br /> J- X VF a 1 X a lease volume) = Estimated Purge Volume: -_ 1oa1.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Dispos ble Bei <br /> Stac <br /> uctio Pressure Bailer <br /> Grundfos - Grab Semple <br /> Other Other: <br /> Starting Time: _ ! Weather Conditions: <br /> Sampling Time: _teaLE 26 Z-) Water Color: _ /tea Odor: <br /> Purging Flow Rate: corn. -Sediment Description: �.. <br /> Did well de-water? r' It yes: Time: Volume: <br /> Volume PH T <br /> ty emperature D.O. _ <br />-� _ -•-- H Codd <br /> _ - ORP�� -A11cal}ritp_ <br /> (8 ) Nrs►hoa M � (mom,) (MV) <br /> (PPM) T <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#1- CONTAINER REFRIG PRESERV. TYPE --t LABORATORY ANALYSES - <br /> Yp X VOA VIAL Y HCL SEQUOIA TFHlG)/btexlmtbe.- <br /> COMMENTS: . <br /> r 6I97_riNeat� <br />