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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client! 1lndC�t� 4 <br /> Aress: <br /> lity� 2 9S1 Jobb#: Z eo S <br /> / a ' s, Date: <br /> City: �'riJc� � Sampler: S <br /> Well ID MI.J— 5 Well Condition: <br /> Well Diameter Z inHydrocarbon Amount Balled <br /> Thickness, d2 ifeetl (productlwaterl• allons <br /> Total Depth S 3' ' Volume 2" = 0 17 3"= 038 4' 0 66 <br /> Factor(VF) 6"= 1.50 12"= 5 80 <br /> Depth to Water _ 'L�S�� <br /> f <br /> � JJ d <br /> X Vr- t� _`f•![7 X 3 (case volume) - Estimated Purge Volume /0' f Taal I <br /> i <br /> s <br /> Purge Disposable Bailer Sampling <br /> Equipment: rspos le Sail <br /> Equipment: Basler Baier <br /> Stack <br /> } <br /> Suction Pressure Bailer r <br /> run o Grab Sample <br /> Other- Other• _ <br /> Orting Time !• Z v Weather Conditions ' <br /> Ilk <br /> Sampling Time /; `5 Water Calor ._e2eA.. Odor _ <br /> x <br /> Purging Flow Rate 1•j anrn Sediment Description <br /> Did well de-water? , /u? If yes, Time Volume. al Ii <br /> Tune Volume pH Conducuvity Temperature D O ORP Alkaluu y <br /> Amh4cm Xl00 OF S (mg/L) (mh (Ppm) <br /> l,6 �.. _ _ 6• •� <br /> i <br /> i <br /> 1 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0) - CONTAINER REFRIG. PRESERV,TYPE i LABORATORY ANALYSES <br /> W S 3 tfO7g YG SEaU01A TPH(G)lbtexlmtbe <br /> c r 2 (/dam fZ60(,C a .Ca <br /> F <br /> f <br /> I <br /> i <br /> OOMMENTS: <br /> r <br /> �V17-Mld��hnl <br /> E <br /> E <br />