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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/ C 4r i12 or`l <br />Facility # q --'5- 2 -15: Job#: 3-� - -�- <br />Address: 301 W�-Sr 1S�rLEManr Lr�i. Date: <br />Lo D z fCity; C Sampler. tp 3.4 c, <br />Time volume <br />MW^ <br />U-?" 13 <br />Conductivity <br />Well ID <br />(gal.j <br />Well Condition: <br />Well Diameter <br />-C (MVI) (ZMV) (PPM) <br />Hydrocarbon Amount Baled <br />/. • <br />Thickness. (product/water). <br />Total Depth <br />� � •. �_ <br />volume 2' = 0.17 3" a 038 4" e 0 66 <br />v ,. <br />7 03. <br />! 3 <br />Factor (YF) 6" R Iso 12" - s sa <br />Depth to Water <br />;;to,- <br />97 <br />G b � � ►ga I <br />j� <br />REFRIG. <br />X VF -' <br />— X 3 [case volume] - Estimated Purge Volume* <br />Purgej <br />Disposable Bailer <br />Sampling - - <br />Equipment: <br />Bailer <br />Equipment: isposable Bad <br />Stack <br />Bai e <br />Suction <br />Pressure Bailer <br />Grundfos <br />Grab Sample <br />Other: <br />Other. <br />n� <br />i ` <br />Starting Time: <br />Weather Conditions: <br />Sampling Time: <br />a <br />Water Calor: r.} ' Odor, <br />Purging Flow hate- <br />g;+M. <br />Sediment Description: <br />Did well de -water? <br />Ao <br />If yes; Time: Volume: <br />Time volume <br />MW^ <br />pH <br />Conductivity <br />Temperatwre D.O ORP Alkalinity <br />(gal.j <br />-C (MVI) (ZMV) (PPM) <br />f 1j <br />/. • <br />r,73 4-5 <br />7,1j <br />03 <br />v ,. <br />11'31 <br />`7 s�- <br />5q9 <br />;;to,- <br />LABORATORY INFORMATION <br />SAMPLE ID (0) - CONTAINER <br />REFRIG. <br />PRESERV. TYPE LABORATORY ANALYSES <br />13 Ur, yr CL_ SEcwvr <br />TP14C-, <br />ax `s S <br />COMMENTS. ',r /1' 0 <br />10-11i <br />6I074U"MO ie <br />• <br />