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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ant/ C��V r O r1 <br /> Faclllty# - � 39x Job#. <br /> Address:%26 ell <br /> . Date: � <br /> City: <br /> Sampler: <br /> Well ID M W—` Well Condition: <br /> Amount Bailed <br /> Well Diameter Hydrocarbon t � ;product/watery Wallo <br /> G Thickness <br /> Total Depth i Volume 2"=0 17 3"=0-38 4" =0 66 <br /> Factor(VF) 6"= 1 5Q 12 =S 80 <br /> Depth to Water S� <br /> X 3 (case volume? Lt= Estimated Purge Volume „ � <br /> X VF laa1.1 <br /> PurgeDisposable Bailer Sampling <br /> Equipment: -Dispos le <br /> Equipment: Bailer <br /> Stack pressure Bader <br /> uction Grab Sample <br /> Grundfos Other: <br /> Other. <br /> ? Weather Conditions' C o <br /> Starting Time- - Odor:- — <br /> Sampling Time: Water Color. G-Ca <br /> Purging Flow Rate. Sediment Description: <br /> Did well de-water? <br /> (} If yes: Time. Volume: <br /> ConductiviLty Temperature D 0 ORP AlkdWt' <br /> Time V�olluumc PH pmhoskm OF (MOU (mV) (ppm) <br /> 1,1 :Us.- <br /> LABORATORY INFORMATION <br /> LABORATORY ANALYSES <br /> SAMPLE 1D (ill - CONTAINER REFRIG PRESERV TYPE SEQUOIA TPHIG1/btex/mtbe p <br /> X <br /> VOAVIAL Y HC <br /> COMMENTS: <br /> srs7.n.wn.tm� <br />