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NYtLL yVilJiVi1 U1ll1NL7I:7r1. Ir LII'Aka <br /> FIELD DATA SHEET <br /> Client/ I �¢ <br /> Facility A O 7 _ Job#: + <br /> Address: 203 I ` S �- Date: _ 11 19- 111 - <br /> City: <br /> 9- q1 --City: a c Sampler: <br /> Well'10 Well Condition: <br /> Well Diameter in, Hydrocarbon Amount Bailed <br /> Thickness: feel (productlwater): lGallonsl <br /> Total Depth I d JL Volumc 2"=0.17 3" a 038 4" =0.66 <br /> .1� Factor(VF) 6'= 1.50 12"= 5.80 <br /> Depth to WaterItL <br /> �-� X VF 2-z 2 X 3 (case volume) = Estimated Purge Volume: 7 Foal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: ls'pc sable Bail <br /> Stack Bailer <br /> action Pressure Bailer <br /> rundfos Grab Sample <br /> Other: Other: <br /> Starting Time: ieWeather Conditions: <br /> Sampling Time: - it ',4 )"' <br /> Water Calor: C Cp a Odor. <br /> Purging Flow Rate: I 510M. Sediment Description: <br /> Did well de-water? If yes; Time: Volume: <br /> Tune Volum^- pH Conductivity C Tcmp•crarure D.O. ORP AlkzUz-dty <br /> ymlhos/an X •F (mg/L) (mV) (PP-) <br /> id 7z r � — �'•L - <br /> c <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 3 �/ /}� Y }k C C_ SEOu01A TPN(G)1btex/mtbe <br /> COMMENTS: <br />