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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Un e) ct-ct <br /> Facility #---Q rz 3 Job#: <br /> _ Address: /03 G Date: v o <br /> City: --- Sampler: <br /> Well ID Well Condition: <br /> Well Diameter Z i�_ Hydrocarbon Amount Bailed <br /> Thickness (product/water). ._.. {gaL) <br /> Total Depth <br /> Volume 2"-0.17 9"=0.38 <br /> /� �_ Factor(VE) 6*- 150 12"-5 80 <br /> Depth to Water „_ r* <br /> i <br /> X VF G Lj aZ �, X 3 (case volume) - Estimated Purge Volume. !nALI <br /> Purge Disposable Bailer Sampling <br /> Equipment•. Bader Equipment: Disposable er <br /> Stack Bai er <br /> uctto Pressure Bader <br /> Grundfas Grab Sample <br /> Other. Other: <br /> Starting Time 1 ' �� Weather Conditions. <br /> Sampling Time- t 1 Z Z Water Color �1`"' Odor <br /> Purging Flow Rate. GPM Sediment Description. F <br /> Did well de-water? r, a If yes; Time Volume• - -_nA I <br /> Time Volume pH Conductivity Temperature D O ORP AUmlu ty <br /> -) ymhoWcm1jIdo "F- (m8L) (mV) (Ppm) <br /> D <br /> LABORATORY INFORMATION <br /> SAMPLE ID 0)- CONTAINER REFRIG PRESERV TYRE LABORATORY ANALYSES <br /> [A— S _31 VC)AX itG1 •� kms-4 6r' HTQC` <br /> COMMENTS <br /> ofs�-n.w.e nm <br />