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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # ii i Job#: <br /> Address: 00 So lo,4rccka)e 5 Date: S-- !U 1 <br /> City: L L l N Ry P Ch Sampler: 30 c! <br /> Well ID , Well Condition: © , <br /> Well Diameter _ Hydrocarbon Amount Hailed <br /> Thickness: in (Product/Water): (gal_1 <br /> Total Depth 3 �' Z �* <br /> Volume 2" = O.I7 3" = 038 4" = O.66 <br /> ), Factor(VF) 6"= 150 12" = 5.90 <br /> Depth to Water <br /> 17 <br /> 2-2_ <br /> 2'7 X VF I7 =1L I X 3 (case volume) = Estimated Purge Volume: a I <br /> Purge Disposable Sailer Sampling <br /> Equipment: Bailer Equipment: Disposabi ailer <br /> Stack Bailer <br /> n Pressure Bailer <br /> ndfos Grab Sample <br /> Other: Other: <br /> Starting Time: O Weather Conditions: I-� ?�_y_ <br /> Sampling Time: Water Color: Odor- PLO 0S <br /> Purging Flow Rate: 7 Sediment Description. ' <br /> Did well de-water? If yes; Time: Volume: (nal <br /> Tune Volume PH Conductivity j Temperature D.O. ORP Alkalinity <br /> (gal.) umltas/an )cl (mgJL) (mV) (PPm) <br /> 4.'47, i T-1-G1 70.7 <br /> 41 r 44 <br /> LABORATORY INF0RMATION <br /> SAMPLE ID ( ) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 1U1 3 V o X C S'a =✓+s <br /> 6, `LVe r / 2 6r7 <br /> I <br /> COMMENTS: <br /> 9fl7-11•W�.l�m <br />