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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> ;Facility # Job- : 1 go17 <br /> r-- <br /> Address: o o � 5 Date: �= 20-21 _ <br /> City: i TN)'n P C A Sampler: 7YJ e <br /> Well ID _ — Well Condition: <br /> Well Diameter 2;n Hydrocarbon Amount Bailed <br /> � Thickness: � ire (oreduct/waterl: <br /> Total Depth 3� <br /> Volume 2" = 0.17 3" =038 4" = 0.66 <br /> Depth to Water <br /> 7 hczor(VF) 6"= 1-50 L" = 5.30 <br /> 2 X VF �' + =7 2 X 3 (case volume) = Estimated Purge Volume: Z[r A[ <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> action Pressure Bailer <br /> "-�ntrtidfas Grab Sample <br /> Other: Other: <br /> Starting Time: 5 Weather Conditions: 1�T y <br /> t Sampling Time: 2 �3 '_"^ Water Color: 0dor- x — <br /> Purging Flow Rate: nprn- Sediment Description: r <br /> Did well de-waterl If yes; Time: Volume: lad-) <br /> Time Volume PH Conductivity 00 Yernpeature D.O. ORP AIk-Z*mty <br /> ($--) omhosfcmyc� "� (--8/L) (mV) (PPM) <br /> • i <br /> LABORATORY INFORMATION <br /> SAMPLE 10 Ij) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> C INC, 13T.-_.f, MT 9 F i <br /> I <br /> I <br /> COMMENTS: <br /> e <br /> t <br /> I <br />