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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> flient/ (���;ccc k� Job#: <br /> :86lity <br /> Date,. <br /> Address: <br /> i9/Zzfa I <br /> Address: <br /> City: C, -� <br /> Sampler: ._ <br /> Well 1D <br /> �?j„/ — well Condition: <br /> 2 Hydrocarbon Amount Bailed <br /> Well Diameter Ci .G zs in- (productlweter): r�+� <br /> Thickness: <br /> Total Depth � tLVolume 2"- 0.17 6' 1.50 30.� 038 12" 5.80 4' 0.66 <br /> Facwr(VF) <br /> Depth to Water �'L <br /> X VF �, j X 3 (case volume) <br /> Estimated Purge Volume: �'�rnwl 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Disposableosable Ba ll 1~ <br /> Equipment: Bailer Bal er <br /> tac Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other: <br /> Other: �J <br /> /j G Weather Conditions: <br /> starting Time: Odor- <br /> Sampling Time: �- 2 Water Color. <br /> Sediment Description: <br /> Purging Flow Rate: <br /> Did well de-water? <br /> ► It yes; Time: Volume: rgat-) <br /> Conductivi Tembpem = D.O. ORP ^1kW&iW <br /> MUM Volume PH omhoehm� OF (mg/L,) (MY) (PPM) <br /> ($a-) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 I!)- CONTAINER REFRIG. PRESERV.TYPE' LABORATORY ANALYSES <br /> /�-I A/ — x v 0+4 v,A r�4 uo T rr t0 <br /> 6 c sal Z�c4�Eh� g c=� • <br /> CD MM ENTS: <br /> • an�.w.�r..1w <br />