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WELL MONITORING/DEVELOPMENT <br />FIELD DATA SHEET <br />Client/ <br />Facility CLer'-Q^ /R- S�i S .lob#: 3'{ i �j 6 S S� <br />3c, L ���M La,� Date <br />Address. �'" - -- - — <br />City: j t Sampler: <br />Well ID M W - l _ Well Condition (Soos <br />Well Diameter 2 +n. Hydrocarbon Amount Bailed <br />Thickness (product/water) <br />Total Depth b Volume 2" = 0 17 3" = 0.38 V = 066 <br />Depth to Water <br />Sy 3-7 Factor (VF) 6" = 1.50 12" — S 80 <br />L - J X VF =-LI X 10 (case volume) = Estimated Purge Volume 5A 1 (ys?_) <br />Purge Disposable Bailer <br />Equipment: Bailer <br />� <br />Suction <br />Grundfos <br />Other <br />Sampling <br />Equipment. I <br />Bailer <br />Pressure Bader <br />Grab Sample <br />Other <br />Starting Time <br />( 3 9 S <br />Weather Conditions Leo mow+"Slyx^v <br />Sampling Time <br />Mo <br />Water Color n A St Odor Na,r� <br />Purging Flow Rate <br />.S <br />Sediment Description <br />Did well de -water? <br />N d — If yes, Time Volume <br />Time Volume pH <br />Conductivity Temperature DO ORP AlWuuty <br />(8� ? <br />µmhos1cm "C (mg&) (mV) (ppm) <br />l�fo3 Z <br />7.12 <br />10.0% -7$.44 <br />—7-aZ <br />q- -)5- <br />• <br />LABORATORY INFORMATION <br />ceMPLE ID M - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br />COMMENTS <br />Me.ftwat }mp <br />( Vf:q <br />