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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/ <br />Facility # <br />_ Address: 30 \i�E (-= <br />City: L O D T- c A - <br />Date: <br />Sampler: o�1,4 c t,4A- <br />Well 1D <br />r <br />Well Condition: <br />Well Diameter <br />Hydrocarbon <br />Amount Bailed <br />Thickness' <br />{product/wated <br />Total Depth <br />0 <br />Voiume <br />2"m 0 17 3" a 038 4" - 0 66 <br />5~. <br />7 ell <br />Factor (VF) <br />6" - 150 IV - 5 80 <br />Depth to Water <br />3" s 3 3 <br />X VF C , L � � � X 3 {case volume) R Estimated Purge Volume <br />Purge Dlsposable Bailer <br />Equipment: Baler <br />Stack <br />Suction <br />Grundfos <br />Other: <br />Sampling <br />Equipment: Disposa�ader <br />I <br />Pressure Bailer <br />Grab Sample <br />Other. <br />Starting Time: u-5-2 Weather Conditions: S 0 NSC,' 7 — <br />Sampling Time-�-- 3 Water Color: , A - Odor• <br />Purging Flow Rate: '' Sediment Description: <br />Did well de -water? If yes; Time: Volume: rnrA <br />Time Vim) H ty P TemperatureD O ORP Alkalinity <br />(Inv) (PPM) <br />Lam_ 37, gj. 3.3-O V, 41-r <br />b <br />, _ 3 <br />LABORATORY INFORMATION <br />aaiva c Ors rat _ r%nmTs wim REFRIG. PRESERV TYPE LABORATORY ANALYSES <br />COMMENTS: �CA-A-C " L� <br />11197-flaw.unnm <br />• <br />• <br />