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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Gin v C'_Qd <br /> Facility # © Job#: - <br /> Address: f03 G Date: d <br /> City <br /> /' Sampler: . <br /> Well ID r _ Well Condition: C-) <br /> Well Diameter Z Hydrocarbon Amount Bailed <br /> Thickness' (product/water): <br /> Total Depth 1 Volume 2"-0.17 3"- 038 a 0.66 <br /> 3 T-a�(y) 6" 1-50 12"a 5.80 <br /> Depth to Water <br /> -! J -Z, X VF D•f� , X 3 (case volume) - Estimated Purge Volume: y (gni-I <br /> Purge Disposable Bailer Sampling <br /> Equipment' Bader Equipment: D;sposable er <br /> Stack B <br /> �uctlo Pressure Bailer <br /> s Grab Sample <br /> Other: Other: <br /> Starting Time: Z Weather Conditions: <br /> / c� Water Calor: " <br /> Sampling Time: Odor- <br /> Purging <br /> — - _ <br /> Purging Flow Rate: Ua GPM Sediment Description: <br /> Did-well de-water? If yes; Time: Volume: <br /> Time volume PH Conductivity Temperature D O. ORP Alkalinity - <br /> - - - - --- (�,)- -_ - - -- -� r= ;amhoWCML* -p - - 1=�--- - y- -- (A►f/L)-- (mom - -- _(Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (1)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> U- 2- 3 VdA¢: N G1 ka- - ar HTS~ <br /> I&A --� -* $o O <br /> ! 4-41, <br /> COMMENTS: <br /> .n7-erldse.h" <br />