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WELL MONITORING/SAMPLING <br /> --_ ----- _ -- -- - . _ _ FIELD DATA SHEET - <br /> Client/ <br /> Fscility44t 'E-S3 _ Jobb}: <br /> Address* � � Date: . r ) • <br /> City- S'�'�r�'.�� —C- _ _ Sampler: <br /> Well ID rno r y Well Condition: G A <br /> Well Diameter in Hydrocarbon Amount Bailed <br /> _Thickness: 0 (feet}- (producilwaterl:— = _ -_- _ - <br /> Total Depth � LZj�� ti tion <br /> Volume 2'= 0 17 3'= 036 s}'� 066 <br /> -�-� Factor (VF) 60- 1.50 12'a 5 80 <br /> Depth to Water � fi <br /> !-� X VF �"�� _ �-'�'21 X 3 Icese volume) - Estimated Purge Volume <br /> Purge Disposable Bailer Sampling ��� <br /> Equipment: Bailer Equipment: `1 osable Belle <br /> Stack Bailer <br /> coon Pressure Bailer <br /> Grundlos - Grab Sample <br /> Other: Other: <br /> Starling Time: `� Weather Conditions: <br /> �` y11200 Water-Color: } <br /> Sampling Time: r (`�' � Odor,— 12-2'. <br /> Purging Flow Rate: nnm. Sediment Description: <br /> Y <br /> Did well de-water? 126 li y s; Time: Volume; <br /> Mme Volume pH Conductmty Temperature D.O. ORP Alkalinity <br /> ( A)- _F (mg/L) (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE IO 1#1- CONTAINER REFRIG PRESERV TYPE - LABORATORY ANALYSES - <br /> ;_ X VOA VIAL y HCL SE U01A TPHIGI/bteximtbe� <br /> COMMENTS, . <br /> 9197-iM1w�rrm <br />