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n <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Tc Job#: j <br /> Address: n 3 <br /> 1 Cp '�1� C"� b Z r� .,� �"� Date: y <br /> City: - A _ Sampler: LLa&2t <br /> Well ID m Well Condition: eyz-- <br /> Well Diameter in Hydrocarbon Amount Bailed <br /> Thickness. _ �, a�i4eetl (Product/waled: <br /> Ito <br /> Total Depth _ 2 Z'Z G tr Volume 2' = 0 17 3'- 0.38 <br /> 9 <br /> Factor (VF) 6"= 1.SD 12'= 5 SO - 066 <br /> Depth to Water _ j Z . y Z n. <br /> r <br /> /0 . /Z? X VF C r' 5 X 3 (case volume) = Estimated Purge Volume' `J laal.l <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bar <br /> Stock- Belief <br /> uctlo Pressure Bailer <br /> Grundfos - Grob Sample <br /> Other: Other: _ <br /> Starting Time: /Sd Weather Conditions: / <br /> Sampling Time: _ fLa Water Color: /=;z,-6 Odor: <br /> Purging Flow Rate. _ gpm. "Sediment Description: ``//-- <br /> Did well de-water? ^ l - it yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D.O ORP Alkalinity <br /> �� (ea!•� ..7 m E' oN •i (mgJi.) (�tn� (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE Ib (#1- CONTAINER REFRIG. PRESERV.TYPE, LABORATORY ANALYSES <br /> s X VOA VIAL Y HCL SEQUOIA TPH(G)lbtexlmtbe Q < <br /> COMMENTS: <br /> 91974»wai trm <br />