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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ TOScc] <br /> Facility,qE 58$6 _ Job#: <br /> -7- <br /> Address- ZiW WL�t Nor" j Date: 9 <br /> City: rr► Sampler <br /> Well ID _.m til— 5f4 Well Condition 0-� <br /> Well Diameter Z ,n Hydrocarbon Amount Bailed <br /> Total Depth <br /> Thickness � ffeg ;Prcductlwater) <br /> _ Zy �S (Y Cailonsl <br /> Volume 2" = 0 t7 3" = 033 4' = 060 <br /> Depth to Water �� Factor (VF) b' = 150 l_'= 5 30 <br /> �( <br /> 12 X V= AL1 =-K—S4 X 3 rcase volume) = Est mated Purge Volume Y.6 D Taal I <br /> Purge Disposaele Bailer Sampling <br /> Equipment Sailer Equipmentlsposab a Ba fer <br /> Stack Sailer <br /> uctl Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> S-_-- -ic Time L'Jeatner CorcSar--s-ling i ime Z . S� Yla-e, Coler _ l' t _ Cccr r%.— 2 <br /> Purcing Flow Rate / co-n Sediment Desc',otion <br /> Dic .veil de-water? rt1 If yes, Time Volume <br /> — (.gal 11 <br /> Tune Vo au�me PH Conducuvtcy Te-nveracure D OORP AtkL niry <br /> ( ) umhas/c.. X/Z�G ;r <br /> (mV� (porn) <br /> LABORATORY INFORMATION <br /> SAMPLE ID ITI CONTAINER RE=RIC PRESERV TYPE LABORATORY <br /> lI ANALYSES <br /> Lt1� TO 3 v� Y15E0' TP,fGllbtexlmtbe <br /> �` X260 6 m K <br /> COMMENTS <br /> 9M use,i rim <br />