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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Ont/ <br />Facility # <br />Add ress: 3 0 I \t� f, r r_ <br />City: L v D 2 C A - <br />Date• rUPL-),):x7_��j <br />Sampler: 5 TC I& dA, - 4� <br />r' t �� <br />Well ID Well Condition: 0 <br />Well Diameter Hydrocarbon Amount Bailed <br />Thickness. (productlwater). <br />Total Depth VOIUTM 2"- 0 17 3" =1 038 4" a 0 66 <br />Factor (VF) 6" - 1.50 12" — 5 80 <br />Depth to Water <br />X VF ° f 7 a X 3 (case volume) - Estnmated Purge Volume IUAI I <br />Purge Disposable Bailer Sampling <br />Equipment: Basler Equipment' Disposable Bai e <br />Stack Bader <br />Suction Pressure Bailer <br />Grundfos Grab Sample <br />Other. Other. <br />Starting Time. Weather Conditions <br />Sampling Time: 4 -°�� Water Color: Odor <br />Purging Flow Rate: f1prn Sediment Description: <br />Did well de -water? If yes; Time: Volume: rpt <br />Time Volume pH Conducdvlty Tenperatun D.O. ORP Alkalinity <br />(911L) gmbaVcm "C (Rim) (mi) (PPM) <br />LABORATORY INFORMATION <br />SAMPLE 10 i IF) - CqKTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br />M IBJ -- X tk>F� V 1.41 G L_ El,7vU f -f•P 1+ lf- . . . <br />� <br />COMMENTS: <br />•t97.1. <br />