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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> s"aclllty <br /> # Jobb►: <br /> Address: `�,�� ( W Y�u� �. , Date: �� <br /> City: '��, r-sem�� Sampler: { <br /> Well ID LJ Well Condition: U <br /> Well Diameter in, Hydrocarbon _ Amount Bailed <br /> _ Thickness' fe (productfweter): el o <br /> Total Depth n <br /> Volume 2`= 0 17 3"= 0.38 8'= 0 66 <br /> Factor (yr) V= 1.50 12'r 5 80 <br /> Depth to Water - � D�13 <br /> - 2- 7 X VF _J4- '�X 3 {case volume) = EFt+mated Purge Volume; _ 1 taal_l <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equiprnertt: Disposeb{eT Brei er <br /> Steck Bat: <br /> actio Pressure Batter <br /> Grundtos - Grab Semple <br /> Other: Other: - <br /> i <br /> Starting Time:t - Weather Conditions: s-- � <br /> Sampling Time. I Z 3 f�/��"�Water Color: _ �j'n ' Odor:--"%— a <br /> Purging Flow Rete: � as3m, -Sediment Description- <br /> Did well de•weter? tt yes; Time: j_ Volume-. <br /> Time Volume pH Conductmry Temperature D.U. ORP Atka ndty <br /> ) mho aKKri <br /> of (mgfL) 4MV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER REFRIG PRESERV.TYPE '- LABORATORY ANALYSES <br /> i,�,� tj X VQA VIAL y HCL SEQUOIA TPHiGIPotex/mtbe/ <br /> COMMENTS' <br /> 9Is7-rte+�, <br />