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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility#' 1'�:r� m�z 1-,tniJ� It..W��5) ,fob#/: <br /> Address: . (a� ���� < < �� Date: ,5 i Ve�, -L— ai, 1�r <br /> City: Sampler: ✓ i ` <br /> Well ID lm 1'`-1 Well Condition: J— <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: `� � <br /> + 0 Il (product/water): <br /> Total Depth I <br /> Volume 2'a 017 3'- 0.38 • <br /> (�} 5' 1 SO 9 � 0 56 <br /> Depth to Water Z `/. ( ti• Factor 12'= 5.80 <br /> G (' 7 X VF D• �= d-] X 3 Icese volume) - Estimated Purge Vol ume: Z <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> run f - Grab Sample <br /> ,,Fun <br /> ern Other: <br /> tarting Time: _14, �� Weather Conditions: _ <br /> fampling Time: �jr, Water Color. _ fn <br /> A4 96 , <br /> Purging Flow Rate: 7� -Sediment Description: - <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D.Q. ORPap7Ailv�lty <br /> ($�.� - h �,mhoa/ eF (mF/�•) (MV) (Plan) <br /> --Lilk -4-44 - 42�L E�2 I <br /> I o $"?_� <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#1- CONTAINER REFRIG PRESERV.TYPE '• LABORATORY ANALYSES <br /> ML.3-- � X VOA VIAL Y HCL SEQUOIA TPHIG)Ibtex/mtbe+- <br /> OMMENTS: <br /> e►s�-n.raa,�n <br />