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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Stlient/ <br /> Facility # z SSS Job#: 2 YL S <br /> Address: j 6.6 S— Ri e,rC Aye Date. OW?'q <br /> City- <br /> C,k-74Z� Sampler: La.L <br /> Well ID HC l- I Well Condition. e' <br /> Well Diameter Z --� Hydrocarbon Amount Bailed <br /> Thickness (product/water) <br /> Total Depth `�9 �+� "_ <br /> volume 2"=0 17 3 =038 V" = 0 66 <br /> Depth to Water <br /> �. / Fater(VF) 6"= I-50 12" =S 80 <br /> .] ''' <br /> Z3 J X VF 6'/:L =3 13 X 3 (case volume) = Esumated Purge Volume <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment. Disposable Ba er <br /> Stack ai er <br /> Suction Pressure Bailer <br /> Grund a Grab Sample <br /> Other Other <br /> Starting Time - si-L Weather Conditions <br /> Sampling Time 12 Z's Water Color Odor n% — <br /> Purging Flow Rate f -) ate- Sediment Description <br /> Did well de-water? If yes, Time Volume <br /> 'rune Volume PH Conductwity Temperature D O ORP Alkaluuty <br /> (Sal) Amhos/cros!/&-r- "St'vr-`c (m8'/L) (mv) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#} - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> M w_ r %(6 -4 y r,� l s km rf&61.4 I-Tx Hrgr <br /> r r Z fo Q t i BLEQ r� 6,V !_o <br /> c f f cPhis7�►- C Y #7-S vy Y �i/re . dl34S <br /> t #A103 4 :10 <br /> r prg Ferra�e.s <br /> t i 4 �f � S. RI�• l��d. �'a <br />