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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> . Client/ lJnze,:re Lac?Job#- <br /> s- <br /> Facility # �$ <br /> _ Address: 1 e, Date: <br /> � cz <br /> City: S Sampler: <br /> Well ID _ - Z Well Condition: d <br /> Well Diameter Z Hydrocarbon Amount Bailed <br /> Thickness (product/water) <br /> Total Depth �9 Volume 2" =0 17 3"-038 4" = 0 66 <br /> Depth to Water <br /> Z Factor(VF) 6" = I50 12"=5 80 <br /> ZZ r X VF x 3 (case volume) = Esumated Purge Volume: 71�� <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bader Equipment. ispcsa le 1 <br /> Stack Bailer <br /> Suction Pressure Bader <br /> rand Grab Sample <br /> Other Other <br /> . Starting TimeWeather Conditions- <br /> Sampling Time 7� — Water Color Z. Odor <br /> Purging Flow Rate > > Sediment Description <br /> Did well de-water? AI'D If yes, Time Volume <br /> Time Volume pH Conductivity Temperature D O ORP A1kaluty <br /> (931) hos/cm � (mP/-) (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (0)- CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> t�- Z 3 VJ A y t/c/ t r� NTPE <br /> r iN + 31 ora as <br /> r 4* <br /> F3,,,rre,._s Ira <br /> 9n7-n.�d.s rs^ <br />