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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ c, <br /> Facillty# �� z oo Job#: <br /> Address: ll <br /> - -- - _ iL Date: � z 1 G � <br /> City: -p— C Ig Sampler: � I , <br /> Well ID o- Well Condition: Z � <br /> Well Diameter In Hydrocarbon Amount Bailed <br /> Thickness- p` to (productlweter); llo <br /> nict <br /> Total Depth �� � � tt. <br /> Volume 2't 0 17 30- 0.38 4'c 0 66 <br /> 50 <br /> Factor(VF) 6'- 1. <br /> Depth to Water _ �' 9 h 12 - S BO <br /> X VF C._!_t = IX 3 Icase volume) - Estimated Purge Volume] <br /> Purge isposable Ball Sampling <br /> Equipment: Bailer Equipment: is &sableBel r <br /> Stack Beller <br />�I Suction Pressure Bader <br /> Grundfos - Grab Sample <br /> Other: Other• <br /> •Starting Time: _ iG2- K _ Weather Conditions: - . <br /> Sampling Time fG9-9 L5 X Water Color: <br /> Odor: <br /> Purging Flow Rate Sediment Description: <br /> Did well de-water? _�E- ,2-_ If yes. Time: Volume: <br /> l <br /> Time Volume PH Conductivity Temperature D O ORP ADWitu <br /> ty <br /> yimhoalcm • (mg/L) (mV) {ppm) <br /> �. �F.4 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (g) - CONTAINER REFRIG PRESERV TYPE - LABORATORY ANALYSES <br /> iZ- .J rJ X VOA VIAL Y }ICL SE U01A TPHIO/btexlmtbe� C� <br /> OMMEN75 <br /> 8187-1M10iS T1I11 <br />