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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> C11ent/ !D Job#: 3 <br /> Facility # C-- �� �� �' 30 <br /> --- <br /> �I S . Q.� �-t <br /> Address: Date:_ <br /> City: <br /> o Sampler: <br /> Well ID <br /> Well Condition: C-9 <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness' tproductlweted'. In+r-1 <br /> Total Depth ftvolurm 0.17 v- 038 r 0.66 <br /> Factor(VF) 60- 1.50 12" .. 5.80 <br /> Depth to Water �Z•Z3 <br /> 9�7 X yF X 3 (case volume) Estimated Purge Volume: a IOW <br /> Purge Sampling <br /> Equipment: Bailer Equipment: is osabie Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: <br /> Weather Conditions: �� '!'� - <br /> Sampling e: — <br /> �I2__/-3D-a1, Water Color: Odom <br /> Time: <br /> Purging Flow Rate•• GPM <br /> -geenrDesription: <br /> rpt? if yes; Time: Volume: <br /> (old I <br /> Did well de-water? <br /> H onduetty Tcrnpenture D.O. ORP Alkalinity <br /> Time Volume p Civi <br /> (gal.} omhax/c m (m8/L) (mv) (PPM) <br /> /&0Z 1.0 — --fazif -- <br /> LABORATORY INFORM11TiON <br /> SAMPLE ID (o)- CONTAINER REFRIG. PRESERV.TYPE' LABORATORY ANALYSES <br /> x Vaq viAL. Lancaster 'r MTO <br /> D <br /> �.` ire-- � K.p 7pµ•wlb <br /> COMMENTS: <br /> lA7/I.Ws.�^ <br />