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�F <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Job#: <br /> Address- 4'7-0 S—c),rv`hr -SI Date: L, <br /> City: �� Sampler: <br /> Well ID 11.E '� 5 Well Condition- <br /> Well Diameter in. Hydrocarbon Amount Balled <br /> Thickness Deet} (product/water). 192pilon§1 <br /> Total Depth _ Z n Volume 2' = 0 17 3" = o 38 4'= 0 66 <br /> I Factor(VF) 6" = 150 12'= S 80 <br /> Depth to Water n• <br /> D .9 S X VF0, I X 3 Kase volume) = Estimated Purge Volume: foal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment. isposable Ball <br /> Stack Bailer <br /> ucti8n Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> latarting Time: �` .5� Weather Conditions p a Y <br /> Sampling Time* Water Color: Odor: <br /> Purging Flow Rate. _ anm. Sediment Description. <br /> Did well de-water? _ >� If yes; Time- Volume: <br /> Time Volume PH CondumMty Temperature DO ORP Alkalhuty <br /> Nm 3 osilm (mg/L) (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1/11- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> )wZ lr,J S X VOA VIAL Y HCL SEQUOIA TPHIG)lbtexlmtbe4- :FcK S <br /> *OMMENTS. <br /> 9197-10wat rt„ <br />