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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ r <br /> �'r'r�'1 .fob# <br /> Facility l '�. <br /> Address: Ss . er e Date: <br /> Ciry: L �^ Sampler: " e-. <br /> Well ID VKUj'' 0 Well Condition: 0 . <br /> well Diameter Z Hydrocarbon Amount Bailed <br /> l Thickness: (nroducdwaterl: <br /> Total Depth f b g +: vol,,..-rc 2" m 0.17 3'=0-38 4" =0.66 <br /> i2cor(V—:) 6' = 1S0 L"=5_S0 <br /> Depth to Water �' *' <br /> � � <br /> i•D X VF 0-11 _lte�r??,,= X 3 (case volume) = Esrimated Purge Volume: ��// __�f1] <br /> Purge15posab e+ SampCng <br /> Equipment: Baiter Equipment: Disposable Bail <br /> Stack Sal er <br /> Suction Pressure Bailer <br /> Grundfos -Grab Sample <br /> Other Other: <br /> Starting Time: `fid Weather Condivons: <br /> Sampling Time: , ! "y Water Calor. C �e Odor- r.a a� <br /> Purging Flow Rate: ° 12 ^nm- <br /> Sediment Description: v10 64 <br /> Did well de-water? If yes; Time: Volume: <br /> Time Volume pH Carid ty�{d"T�t�es1t=;*t D.O. ORP Alkginity <br /> _41 T1 <br /> ? S <br /> s- <br /> i <br /> i <br /> LABORATORY INF:oRMATIOIV <br /> SAMPLE M (�n- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> Mw- 1D 3Y*AY I}CL Se Oi<k IFOG,STCX,MTBr, <br /> 2d k r r /r <br /> F <br /> f <br /> F <br /> COMMENTS: <br /> 4 <br /> t <br />