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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> 100lent/ 0") C-,d <br /> Facility #_Q l 3 _ Job#: zoo <br /> Address: -10-3q- Ge,74y, Date: <br /> City: <br /> % Sampler: <br /> Well ID Well Condition. <br /> Well Diameter 2- __in_ Hydrocarbon Amount Bailed <br /> Thickness (productlwater) <br /> Total Depth _ �- voles 2"= 0 17 3" =038 9r O 66 <br /> �� Factor(VF) 6"- 150 12"—5 80 <br /> Depth to Water ' <br /> 7 t X VP -�' X 3 (case volume) - Estimated Purge Volume te91-1 <br /> Purge Disposable Sailer Sampling <br /> Equipment: Bailer Equipment: Disposable er <br /> Stack Beier <br /> ucfio Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time - Z Weather ConditionsR-- <br /> Sampling Time- Water Calor -— Odor L-10 <br /> Purging Flow Rate. d - pm- Sediment Description. <br /> Did well de-water? If yes, Time. Volume <br /> Time Volume pH Conductmty Temperature DO DRi' AIlin'ty <br /> (gal-) pmt►oqtcm41LTt � (mom) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> y— � 3 ✓`d�-: h'`�� � �,�-�- r;� H Tic <br /> 4 <br />• COMMENTS <br /> 2197 MIMt Fffn <br />