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WELL MONITORING/SAMPLING <br /> -FIELD DATA SHEET -- <br /> Facil,Client/ �� ��K) . 1 �'� Job#!: <br /> Facilrty� "` <br /> Address* <br /> �c>,."%A� Q < �,k "S-t Date- L 'L <br /> City: }�v�` f: Y7 �_ - Sampler: �� ..,....,._.._.., <br /> Well ID Well Condition ilk" <br /> Well Diameter Fri Hydrocarbon Amount Balled <br /> Thickness 40-j Ifeetl 1producilwaier): (Gallons) <br /> Total Depth L <br /> P Volume 2' - 0 17 3" = 0 38 4"= 0 66 <br /> Factor (VF) 6" = 150 12"= 5 80 <br /> Depth to Water /Z,. <br /> X VF 1 _�•(,? X 3 (case volume) - Estimated Purge Volume. S , (net.) <br /> Purge Disposable Barler� Sampling <br /> Equipment: Bailer Equipment: Disposable Baffle <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> run fos - Grab Sample <br /> Other: Other, <br /> Starting Time: _ 13 3S Weather Conditions: <br /> 0 <br /> Sampling Time: Zi-� Water Color. CLIZ _ Odor: <br /> Purging Plow Rate.' — anm. Sediment Description: <br /> Did well de-water? _ AD If yes, , Time Volume: _ full.) <br /> Time Volume PH Conductmty Temperature D O ORP Alkaluuty <br /> (S y )A 4 aJgn -7 Z.- 3 (m> ') (mom (ppm) <br /> _1L s ► +3 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#}- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> J��,►/� �D S7 X VOA VIAL Y HCL SEQUOIA TPHIG)/btexlmt;;T 20 It •y <br /> COMMENTS . <br /> 9/9741@1dat trrn <br />