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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ � <br /> Facility #_.g y 3 - Job#: 2 $a D <br /> Address: 183 � - Date; 12114190, <br /> City: Tr o� Sampler: <br /> Well ID Well Condition. <br /> Well Diameter 2 Hydrocarbon Amount Bailed <br /> Thickness- (Product/water) CQ (GaLl <br /> Total Depth Volume 2.1. 0.17 3'-038 4" - 0 66 <br /> n Faccar(VF) 6"- 1S0 120-580 <br /> Depth to Water �..� n- <br /> X VF 6,J X 3 (case volume) : Estimated Purge Volume: ���' tom►S <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposable er <br /> Stack Bailer <br /> ucv n Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time I T ��_ Weather Conditions- <br /> Sampling Time z3. Water Color Odor- <br /> Purging Flow Rate GPM Sediment Description �t2 — <br /> Did well de-water? r1m — If yes; Time- Volume <br /> Time Volume pH Conducuvsty Tempers DO ORP Alkali:uty <br /> (mS2) (MV) (PPm) <br /> 0. <br /> UL <br /> 17-vim . � 6 •�� <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> it&t.4 rAY4 <br /> 4 <br /> COMMENTS: <br />