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3 <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client! Jab#: � <br /> Facility # � /1 t <br /> AMB 1 _ l <br /> _ Address: ` � 0 C � � Date: — - - <br /> L PN-T C Sampler: I � <br /> City: J <br /> Well ID Well Conditon: <br /> Hydrocarbon Amount Bailed <br /> Well Diameter (producVwater): <br /> Thicknes <br /> Total Depth ` � Vch=C 2•=0.17 1-50 r=038 Ir 5.80 V=0.66 <br /> Depth to Water Factor(VF) <br /> 1. X VF _ X 3 (case Volume) a Eat'mated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipn env: Di osable Bailer <br /> Equipment: s�� Bader <br /> Suction Pressure Bailer <br /> Grab Sample <br /> Grundfos Other- <br /> Other: <br /> Starting Time: <br /> ' Weather Conditions. L.O- U { T <br /> Sampling Time; <br /> Water Color: C 1A � Odor-- <br /> Purging Flow Rate: <br /> •''-' Sediment Description: <br /> Did well de-water? <br /> If yes; Time: Volume: _cast-1 <br /> Time Volume pH u ty Tem �m�) ORP(MV) <br /> V) �ry <br /> aq <br /> LABORATORY INFORMATION <br /> SAMPLE IO (0)- CONTAINER REFFtICs. PRESERV.TYPE` LABORATORY ANALYSES <br /> �.l ?C VV} VJA" i 1-�c.c. <br /> COMMENTS: <br /> am�n�.ws.rw <br />