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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) � � � <br /> . Facility� ? (j3 cj") _ Job#: <br /> Address: � ,A s, Date: -1L z- <br /> Mi�� �e <br /> City: S'����'• � _.� Sampler: VI <br /> Well ID Well Condition 6 A-- <br /> Well Diameter in, Hydrocarbonj Amount Bailed <br /> Thickness "? t✓� lee Iproductlwaterl: <br /> Total Depth 2-���' �' tt- Volume 2'- 0.37 8'= 0.38 <br /> = 0 66 <br /> Depth to Water . S Z Factor (VF) 6"= 3.50 12'= 5 80 <br /> i uD X VF J -4' - 1U 10, 1.1 <br /> X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bader Sampling <br /> Equipment: Bailer Equipment: isposable 8 ei <br /> Stack Bai e <br /> CU c--t�-10-h Pressure Bailer <br /> Grundlos - Grab Sample <br /> Other: Other: <br /> Starting Time: 1 - Weather Conditions: <br /> Sampling Time: Water Color: _ �' <br /> .:, Odor: <br /> Purging Flow Rate* norn. -Sediment Description- <br /> Did well de-water? 1 If yes, Time: Volume. I <br /> Time Volume pH Conductmty Temperature D.0 ORP Alkalinity <br /> 1/1 (gal 2` (c 3t �� ImgJl) {mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID I#1 - CONTAINER AEFRIG PRESERV TYPE LABORATORY ANALYSES - <br /> rz- g 1 tJ X VOA VIAL Y HCL SEQUOIA TPHIGIIbtexlmtbe� <br /> OMMENTS: <br /> e>g7-enios,nm <br />