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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/ C t+r 112 otv <br />Facility # <br />_ Address: 3C, I W"= <br />City/: L () D T I C N <br />Ak <br />Job#. 3 aLg O B <br />Date: _ o o v , rt e <br />Sampler: S LE v4- RAs e� <br />Well ID T `� Well Condition, _ <br />Well Diameter Hydrocarbon Amount Bailed <br />Thickness (product/water)' <br />Total Depth tf Volume 2" a 0 17 3" - 038 4" A 0 66 <br />4 Factor (Vf) 6" - 150 12' n 5 80 <br />Depth to Water <br />fX VF ° 1 7 X 3 (case volume) - Estimated Purge Volume Y rpaLti <br />Purge i D si posable B Ia ler/ Sampling <br />Equipment' eller �� Equipment:Disposable Baler <br />Stack Sailer <br />Suction Pressure Bailer <br />Grundfos Grab Sample <br />Other- Other <br />Starting Time. <br />It'' 1?,-] Weather Conditions• Soh <br />Sampling Time: 16 ' a `2 y `� Water Color. brotih Odor. <br />Purging Flow Rate: Sediment Description: <br />Did well de -water? If yes; Time- Volume: (aHi-1 <br />Time Volume pH Conductivity Te mpembue D.O ORP <br />Alkdhifty <br />(Sal.) onax0cm -C (ZMVL) (MV) (PPM) <br />LABORATORY INFORMATION <br />senior R in rat _ t_nMTeiNFR RFFRIG_ PRESERV. TYPE LABORATORY ANALYSES <br />r + <br />COMMENTS: <br />_ 14 �' <br />l sm.n.ra.Lhm <br />�j V L- C�'-i +C -,77 'c, <br />�v <br />