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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility-l't `-� ' ,_ Job#: <br /> Address: �.7c� I t .) y`�c,�2c -�,fl-;i Date: c o z <br /> City: C-- A _ Sampler: <br /> Well ID �� S�j Well Condition <br /> Well Diameter f Hydrocarbon Amount Bailed <br /> Thickness CJ• Z� CJ lee Ipiaductlwatew <br /> Total Depth�� _ -2- h. Volume - 2 �l7 - - - <br /> O 3" = 0_38 AI'c 066 <br /> Depth to Water 7 <br /> Factor (VF) 6"= 130 121- 580 <br /> I r X VF� lease volume) r Estimated Purge Volume: teal <br /> Purge Disposable Bailer Sampling �---�� <br /> Equipment: Bailer )Equipment: Disposable B <br /> Stack Bai er�- <br /> Suction ' Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other. Other: <br /> Starting Time: Sz: Weather Conditions: i4* <br /> Sampling Time: _ i% E �, ��'Z Water Color. '` Odor:_k% ) <br /> Purging Flow Rate nnm. Sediment Description- <br /> Did well de-water? rf`� If yes; Time* Volume: <br /> I <br /> Time Volume pH Conductivity Temperature D.O. ORP Alkalinity <br /> pmhov OF <br /> [� C� <br /> S <br /> �Q Z (mg/L) [mv) (ppm} <br /> v S8 <br /> LABORATORY INFORMATION <br /> SAMPLE ID IA)- CONTAINER REFRIG PRESERV. TYPE LABORATORY ANALYSES <br /> tZ- 5,b S X VOA VIAL Y HCL SEQUOIA TPHIG)Ibtexlmtb 7 � t <br /> COMMENTS: <br /> • <br /> 81974niWs ten <br />