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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! � <br /> Facility Job#: vo <br /> _ Address: Date: <br /> City: <br /> % ua► Sampler: <br /> Well ID Lf 2 Well Condition: _ C) - - <br /> 2 <br /> Well Diameter Hydrocarbon Amount Bailed <br /> �^- <br /> Thickness in_ (productlwstar): - foal.l <br /> Total Depth f <br /> h- V011ITM 2■=Q 17 3"—038 4"x 0 66 <br /> �- Factor(VF) 6*= 1.50 12"=5$0 <br /> Depth to Water � � � 3 �- <br /> P 2 X VF G �� X 3(case volume) = Estimated Purge Volume s (gal 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bader Equipment: Disposable er <br /> Stack Bai er <br /> actio Pressure Bailer <br /> Grundfos Grab Sample <br /> Other- Other: <br /> StartingTime- /Z , Weather Conditions: 611-ee <br /> _ <br /> Sampling Time. Water Color Odor, <br /> Purging Flow Rate 01N —UpSediment Description. Sr <br /> Did-well de-water7—_._,_. a �+ —If—yes,—Time— Volume: (GALA <br /> Time Volume PH Conductrvity Temperature D O ORP Alkalinity <br /> (ga- -- - - =- --� — - - -- g=hcWcm 'P ---- (mg/L) — -(mV)—_-- <br /> 7, (mV)- -- <br /> ;s g <br /> LABORATORY INFORMATION <br /> SAMPLE ID [ ) - CONTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br /> — <br /> 2- 3 +I`dAx /f G1 s eek-rte- !3r HTS <br /> L`v A Y -` Rot o <br /> COMMENTS: <br /> a/a7-IMId"s f"n <br />