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• FIELD DATA SHEET <br /> Client/ <br /> Job#: <br /> Facility <br /> Date. <br /> Address: 2 03�� I4` S _ — -- <br /> City: c Sampler: <br /> Wel! lD r Well Condition: 1 k <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: !ee 1product1water): atlor,s <br /> Total Depth —2- ±L volume 2" =0.17 3' - 038 4'=0.66 <br /> Factor a 1.50 1z'=s.so <br /> Depth to Water <br /> O G X VF 5TH � -2.3 0 X 3{case volume! Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bailer Equipment: ;sposable Sail <br /> Stack Bailer <br /> action <br /> Pressure Sailer <br /> rundfos Grab Sample <br /> Other: _ Other: <br /> Starting Time: r 'D Weather Conditions: <br /> Sampling Time: <br /> r ;d Water Color: _ C �� _ Odor: <br /> Purging Flow Rate: m. Sediment Description: <br /> Did well de-water? <br /> If yes; Time: Volume: r a1 <br /> Fi Conductivity I`�Tcmpersrurc D.O. ORP A,lk.aliruty <br /> Timc <br /> volume p m <br /> �cmhoslcsn •F (mg/I.) (rn� (ppm) <br /> '7 — - --�-� <br /> LABORATORY INFORMATION <br /> SAMPLE Ip [x) - CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br /> 3 v A— Y K C L SEQUOIA TPN(G}Ibtexlmthe <br /> COMMENTS: <br /> irs�-R.ra.a.rsn <br />