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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) cb�-Vt`O �'1 <br /> Facility L4 a.-7 Job#: <br /> Address:,;ZO 5 0- � � Date: <br /> City; OGt�-+O1'1 C 4 Sampler: FO-AhA.. T -- <br /> � 1 <br /> Well ID ISN 1- to Well Condition: _, D IHV�N�[�p•�L w, 'u. } <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness, Unral I roductlwater)• (Gallo"�' <br /> Total Depth . Volume 2" -017 3" -038 4. 0.66 <br /> Factor(VF) 6' = 150 12' A 5.80 <br /> Depth to Water <br /> to X VF X 3 icase volume) a Estimated Rupe Volume: , - - - feel.) <br /> Purge Disposable Bailer Sampling <br />�Equlpment; Bailer Equipment: Disposable Bailer <br /> Bailer <br /> Stack Pressure Bailer <br /> A Suction Grab Sample) PDA-"r <br /> Grundfos Other: <br /> Other: <br /> Starting Time: Weather Conditions: <br /> L <br /> Sampling Time: -- Water Color: - Odor: <br /> Purging Flow Rate: Sediment Descripti <br /> Did well de-weter7 if yes; Time: Volume: <br /> Cor ductMty Temperature D.O. ORP Alkalinity <br /> Time Volume pH <br /> �) pmhoskm OF ( ) (MV) (�) <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#1 - CONTAINER REFRIft PRESEiV.TYPE LABORATORY ANALYSES <br /> t�lul-10 VQA AL Y SE IA TPli1Q)/btex/ <br /> COMMENTS: <br /> Wr4Tf.&A_ 01 s-r•u67- IP EA-100 AL. AT r0-� Ta <br /> A C C l=S S - i O TDCte. S^*Apc-t f'tt.o►.-, 9&d-'r A <br /> %A0%>%uL L> 'TEsti F&0106� W ELL . <br /> ersr-a.�e.R.r� <br />