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SEP 21 ' gg 10 : 40 FROM GETTLER-RYAN INC TO 2772361 PAGE . 017/e2g <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> i Client/ T0'9,'-0 Job#: <br /> Facility#� 11 ! �� - - <br /> Address: T! s date: d <br /> i <br /> City: r4k Sampler- <br /> Well ID ON Well Condition: <br /> Well Diameter Hydrocarbon Amount Sailed <br /> Thickness: f (product/water): <br /> Total Depth � volwne 2"=0.17 3- ..0.38 4" =0.66 <br /> Factor(VF) 6' _ 1.50 12'm 5.80 <br /> Depth to Water �-'�� �• <br /> { �X VF X 3 (case vo(vme) - Estimated Purge Vvfu-e; I ai.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment; Bailer Equipment: ;ie <br /> os--"able ler <br /> Stack <br /> uct Pressure Bailer <br /> Grundfos Grab Sample <br /> Other' Other: <br /> Starting Timer Weather Conditions: <br /> Sampling Time: �`- � Water polor: CIL, <br /> Purging Flow Rate: t _ nom. Sediment Description: <br /> Did well de-water? _ YIC� _ if yes; Time: Volume: _ 1 <br /> Time volume PH Conductivity Temperature D.O. ORP AlkalWty <br /> grnhoslcm o0 (m> ) (mv) (PPM) <br /> CD <br /> LABORATORY INFORMATION <br /> SAMPLE 10 O CONTAINER REFRIG. PRESERV.TYPE / LASCRATORY ANALYSES <br /> Y HCI 1.SEQV01A TPH(G)Ihtexlmt <br /> COMMENTS- <br />