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a , <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> • Client/ 7b-c w <br /> Facility # sY&'6 Job#: 1$0 3 <br /> Address: _z-701 U MQrj C Date: g <br /> City: dG�,, Sampler: <br /> Well 1D Nom' V S Well Condition: d� 1 d <br /> Well Diameter _. Z Hydrocarbon <br /> Amount Bailed <br /> Thickness (product/water) <br /> Total Depth /5.11 h aau <br /> Volume 2"- O 17 3" -038 4"= 0 66 <br /> Depth to Water �- G Factor(Vj� 6"= I50 12"=580 <br /> X VF !L)--L— =±11 X 3 (case volume) = Estimated Purge Volume y �final <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment isosable B <br /> StackBailer <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions <br /> Sampling Time 0, Water Color c�..�� ( _ Odor <br /> Purging Flow Rate ! Sediment Description <br /> Did well de-water? If yes, Time Volume <br /> Time Volume PH Conductivity Temperature D O ORP Alkalinity <br /> (931) lamhaVcmx/c,0 ;e1'::z (mv) (PP-) <br /> 10, ':�- I i ��` 6 is 3 6S <br /> . 0 , S- a r 66 7- <br /> -7-7 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (9) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW- s rd 9 <br /> � T>p D <br /> •COMMENTS- <br />