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WELL MONITORINGIDEVELOPMENT <br /> HELD DATA SHEET <br /> Client/ <br /> Facility _` h r c� I J Jab#: � _ _. <br /> - +ddress: Date: <br /> City: 1Z1 Sampler: . <br /> Well ID Irl�- Well Condition: <br /> Well Diameter Hydrocarbon -- Amount Bailed <br /> Thickness: Ft. (product/water): {aal.l <br /> Total Depth �• UU <br /> P Volume 2"-0.17 3"=0.38 4"= 0.65 <br /> Factor(VF) 6"- 1.50 12"= 5.80 <br /> Depth to Water <br /> 16 v <br /> r -33 X VF .{ { *3 (case volume) - Estimated Purge Volume: J <br /> Purge <!y�os:able 6aile'r�. SamplingTequipment• -=--� Equipment: Isposable Bailer <br /> Stack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: <br /> Starting Time: 'K Weather Conditions: CLa <br /> ampling Time: <br /> /U:/5", Water Color: _' Odor t3 <br /> Purging Flow Rate; anms Sediment Description: _ / ��h� CI-71 <br /> Did well de-water?. /� If yes; Time: Volume: _Inali <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> (gal.) µmhios/c n oC (mg/L) (mv) (ppm) <br /> 33 LG los <br /> 9 <br /> 4-- <br /> 2 <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 41T— <br /> COMMENTS: <br />