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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> • Client/ 7zr� cs� <br /> Facility # z Joh# <br /> Address: �� ta" �� `�' Oate: <br /> City: d7�e 'er Sampler: � - -� <br /> Well ID Well Condition: 4(` <br /> Well Diametery *+- Hydrocarbon Amount Bailed <br /> _ Thickness (product/water) <br /> Total Depth S E tr_ Volume 2" =0 17 3"- 038 4"= 0 66 <br /> Depth to Water <br /> C 3 Factor(V ) 6"= 1.50 12"=5 80 c� <br /> 2 ( -:�- X VF SL& = ± � X 3 (case volume) = Estimated Purge Volume. i3 }S r� <br /> Purge Disposable Bailer Sampling -� <br /> Equipment Bailer Equipmenxis osab e r <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> mn Grab Sample <br /> Other Other <br /> Starting Time /E. z 0 Weather Conditions 9-'-"" <br /> Sampling Time �� - — Water Color l � Odor <br /> Purging Flow Rate J cam- Sediment Description <br /> Did well de-water? If yes, Time Volume <br /> Time Volume pH Conductivity �'Tempenalk <br /> twve D O OAP Aauu <br /> lty <br /> (gam) umhosjcm)r/Cz' �-T at" (mP(-) (mV) (PPM) <br /> 10 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0) - CONTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br /> l/a fit�++ y >sf G -�z 9.c t-c� Tpf/C l�Tt'XJl T/7 F- <br /> A/0 Pc�a rs«, <br /> 4 Ah <br /> f r ol�'-zfnocts Ira ., <br /> 9197 li•wat!� <br />