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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> �.11ent/ <br /> =acility #�C-- r�� ��' ' �v Job#: - <br /> Address: '5t <br /> '5t , Date: <br /> S� <br /> City: c, Sampler: _ [� <br /> Well ID rn W Well Condition:Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: Iproductlwated: <br /> Total Depth Volume 2"- 0.17 V - 0.38 40 - 0.66 <br /> Z. S3 Factor(M 6"m 1.50 1.2" 5.80 <br /> Depth to Water <br /> X VF •(O� Z. '�C 3 (eese mt <br /> volue) - Eatimated Purge Volume: .? 0 �p <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> tack ai e <br /> suction <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: Weather Conditions:- -- <br /> Sampling Time: 3 0-j t" Water Color: Odor- <br /> Purging low,Fiate: -- -5 diment-flescriptian: -- - - <br /> Did well de-water? A.D If yes; Time: Volume: <br /> Time Volumt PH ConductMty Temperature D.O. ORP <br /> AlkwUnky <br /> (9aL) pmhosicn •C (1-8/1-) (mV) (PPM) <br /> / O 23' r ?•F%lg _ 61-q - - <br /> LABORATORY INFORMbTION <br /> SAMPLE ID t#)- CONTAINER REFRIG. PRESERV.Type: LABORATORY ANALYSES <br /> OF- <br /> /l?w , 6 x V viAt� µi.4 Lancaster T Mt <br /> `7JV <br /> 70 g"Lta A <br /> • <br /> COMMENTS: <br />