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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # S Job#: r 9017 ) <br /> O o �4 •! 5 Date: S_ d_ e� <br /> Address: 2 - <br /> City: L A -T wiey P C )k Sampler: Jo <br /> Well 10 VZ V "- Well Condition: <br /> Well Diameter Z; HydrocarbonAmount Bailed f� <br /> Thickness: _ ,� trL (Rroductlweter): _An"11" <br /> Total Depth 3 9 <br /> � Volustsc 2" = 0.17 3" = 038 4" = 0.66 <br /> 7.10 Fa=r C�7 6"= 150 u"= 5.80 <br /> Depth to Water � ft <br /> G' <br /> 2 4 o r X VF 0,1� = Q X 3 (case volume) 'Estimated Purge Volume: I`LAS ir""I <br /> Purge Disposable Sailer Sampling -- <br /> Equipment: Sailer Equipment: 04�_q pbie Bailer <br /> pk - Bailer <br /> Suction_ _. Pressure Sailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: I Z Weather Conditions: <br /> Sampling Time: Water Color: Odor- n c c <br /> Purging Flow Rate: (TT Sediment Description: <br /> Did well de-water? If yes; Time: Volume: <br /> Tune Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> Atttltas/ca)cl -f- (mg/L) (mV) (Ppm) <br /> i <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (0) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES � <br /> l+vlu% 3 VoQ Y NCL Se �vi� "r?'}fG� pv IM�Rr <br /> I <br /> OK4A S j <br /> I <br /> COMMENTS: <br />