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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ cb e-VC`O 1'1 <br /> Facility4P 01 L4 Job#. <br /> Address:aZ 0 Q. arn►n Date: <br /> City: DGi'�ab n Cir Sampler: __. F'•U►..� T- -- - <br /> Well 1D <br /> Well Condition: r�G/ <br /> Well Diameter Hydrocarbon Amount Belled <br /> Thickness: ftell 1product/waterl: <br /> Total Depth Volume 2"=0 17 3'-0.38 4" 0.66 <br /> Facun(VF) 6'- 1.50 12" + 5.80 <br /> Depth to Water <br /> _X_VF_• �a�o ������X 3 {case vohime) - Estimated Kne Volume: --3.3 f cau <br /> --- - V -_-- <br /> Purge Disposable=Baller- - - 5amp"g <br />�1=qulpment• —Bailer--- Equipment: Disposable Bailer <br /> • (Stack) ` Bailer <br /> Pressure Bailer <br /> Suction <br /> SuctioGrab Sample <br /> Grundfos <br /> Other: <br /> Other' <br /> Starting Time: 5 Weather Conditions:' .. - <br /> Sampling Time: 7 ' 41 Water Color: C Odor: 5 <br /> Purging Flow Rate: <7 240 Sediment Description: <br /> Did well de-water? 4 If yes; Time: Volume: ha+-t <br /> TIM Volume pH Conduetivl Tempexttuxe D.O. ORP AWAHnity <br /> -1:3q 4 3•o <br /> LABORATORY INFORMATION <br /> SAMPLE 10 ie)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANAL <br /> MW- d1- ^ VOAV I AL Y HCL SEQUOIA TPHIaI/btexlfn*o <br /> COMMENTS: <br /> 1�e7-n.�a.et�mr <br />