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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> At/Facility <br /> # os c E9 Job#: <br /> _ <br /> Date; <br /> Address: 447o G <br /> City: S �c�Cn 4 Sampler: S <br /> Well 1D P w- 1 Well Condition: <br /> ? Hydrocarbon �� Amount Bailed <br /> Well Diameter Rproductlwated: <br /> Thickness: <br /> Total Depth Z40 S Vdunw 2" -0.17 3"-038 e- 0.66 <br /> Factor(VF) 6M 150 iz -S.BO <br /> Depth to Water ; SS <br /> g,GrJ X VF _ ./ ..IPS X 3 (caee volume) + Estimated Purge Volume: <br /> Purge is osable Bailer Sampling <br /> Equipment: < osable Bailer <br /> Equipment: Bailer Bailer <br /> Stack Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other:_ <br /> Other: <br /> Starting Time: Weather Conditions: <br /> Sampling Time: <br /> A d 9 I �� Water Calor. C tr.► Odor- S 1 4 Lir <br /> Sediment Description: -t./Purging Flow Rate: <br /> If yes'. Time; Volume: <br /> Ina[I <br /> Did well de-water? <br /> K Conductivity Tempcs�+wrc D.O. ORP MmUnW <br /> T'i:ae volume P , (MIVL) (mV) (PPOs) <br /> 13 zo <br /> /I / /tie 7 _!S�L, �� ---- <br /> rfF3z 2e 77 D- /i9 --- <br /> ----�- <br /> EABOMTORY INFORMATION <br /> SAMPLE 10 1#)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 1- 4 4 y 0:2 ,,o 1 = /4 TO <br /> M w- ib 5 x vpEl J,AL `� <br /> F. <br /> COMMENTS: <br /> ens�Mwwd... <br />