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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> •Facillty--A` C.5<-z) Job#l: <br /> Address: �"",• sz Date: Sly-0 Z. �M�;n � •z.,� <br /> City: �c_r.���� ..I <br /> Sampler: � 1 . <br /> Well ID )7 Li ~ Well Condition: L <br /> Well Diameter .n Hydrocarbon Amount Bailed _ <br /> _ Thickness- Eie v fee Iproductlwater): p <br /> Total Depth _ 'C' , tt Volume 2" - 0.17 3"- 038 4'c 0 66 <br /> Depth to Water Factor (VF) 6'- 150 12'a 5 80 <br /> G� b X VF X 3 icase volume) - Enimated Purse Volurne ! Iasi.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Baader Equipment: osab a Bader' <br /> Stack Bailer <br /> ucv Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> Wiarting Time: z%/(/GA/ / Weather Conditions: _� C <br /> Sampling Time. —IS �� S>/ � Water Color. _ J, r Odor: <br /> Purging Flow Rate: w (• y�„ 4312rn, "Sediment Description: <br /> Old well de-water? _ _ l.0 F� If yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D O ORP Alka udty <br /> (g1) 7 f Nmhoslc�m OF y (m$/l.) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> ry)LZ-- rj X VOA VIAL Y HCL SEQUOIA. TPHIG}Ibtexlrrnbe� t < <br /> 40OMMENTS <br /> 9197-r»b.i+t, <br />