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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Job#: <br /> Address Z ju NELZDate �~ <br /> Z <br /> • City Sampler / <br /> Well ID ��S Well Condition .i sG <br /> Well Diameter ,n Hydrocarbon Amount Bailed <br /> Thickness p 6-6Iteeti 1product/wated- ' aeons <br /> Total Depth /S S� ft <br /> Volume 2'=0 17 3"=038 9'=0 66 <br /> Factor(VF) 6"= ISO <br /> Depth to Water Oe"-I-q- tt 12'= 5 80 <br /> T X VF _ Lr l X 3{case volumel = Estimated Purge Volume • al <br /> Purge Disposable Bailer Sampling <br /> Equipment Bader Equipment: Disposable B r <br /> Stack Bat er <br /> <SZEiO Pressure Bailer <br /> Grundfos Grab Sample <br /> Other- Other- <br /> Starting Time O Weather Conditions <br /> Sampling Time Water Color: _ _ <br /> Odor: -a <br /> Purging Plow Rate. _ 1oom. Sediment Description: <br /> Did well de-water? + If yes; Time: Volume: <br /> Time Volume pH Condueuvity Temperature D O. ORP A11Cahni <br /> t�� F�mhos/rrn 6 (m�} (mv' (Ppm) <br /> iLY <br /> LABORATORY INFORMATION r <br /> SAMPLE ID IfI- CONTAINER REFRIG PRESERV.TYPE !' LABORATORY ANALYSES <br /> M W_ SS y era tY Y H G# SEQUOIA TM(G)AAWmtbe <br /> s <br /> JIV4 6 — <br /> 6 OIC i+y t�C �i BZ6a, <br /> e- Ai 4 TP#- V <br /> COMMENTS: <br /> i <br />