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WELL MONSTORINGISAMPLiNG <br /> FIELD DATA SHEET <br /> ant! <br /> ;ility #-fosCQ -# 4q- :?( . - Job#: ,_ 1 Ad A3 S <br /> dress: q-70 R4 Date: . 12-h ZILI <br /> cy: Sampler: <br /> Well ID M W, Well Condition: <br /> ell Diameter 4f In, Hydrocarbon Amount Bailed <br /> Thickness: d -00 113_ (produWwater): <br /> )tat Depth S 2. �"��� Vulnatie 2'-+0.17 W-038 'r O.6 <br /> Factor(VF} 6"-1.30 12"w 5.80 <br /> epth to Water 30• 3�' �_ <br /> ?`7i 10 X VF !Llj� —�3 (case volume) - Estmated Puree Volurne: LIL 0 1^.A t <br /> Purge Disposable Sailer Sampling <br /> quipment: Bailer Equipment: a usable l <br /> Stank Bailer <br /> Suction Pressure Sailer <br /> is <!LM Grab Sample <br /> Other. Other. <br /> Starting Time: ! O Weather Conditions: yr f <br /> t ^--- Odor <br /> Sampling Time: o � 1 l a/) Water Color: _ � et4- <br /> Purging Flow Rate: ., Z• >r �^� Sediment Description: <br /> Did well de-water? !2 o If yes; Time: Volume: <br /> Time Volume PH ConducuVity Temperature D-O. ORP AlkW&dty <br /> (PL) a'an -F (mt/L) (mom (PPS) <br /> L�! {` !-7. - <br /> 1��g `f�-f �- • /Gr-k Cry.� _._..—, .� <br /> LABORATORY INFORMATION <br /> SAMPLE ID ial- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> Mw— fS x vflq v+ate F3s.i. SE�Lld/ -r nlr0 <br /> g o x s ffZb d <br /> COMMENTS: <br />