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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> FaCllity-l!r SSI! -� � Job#: <br /> Address: ,�/c� L� Y�u{�c �-�,r� Date: <br /> _ <br /> City: Sampler: I <br /> Well ID )7 T_ Well Condition: 4:�_ <br /> Well Diameter in, Hydrocarbon Amount Bailed <br /> Thickness _ G ' a (feet) (product/water): to <br /> Total Depth ?y c) t+ <br /> Volume 2'- 0 17 3'a 0.36 4'- 0 66 <br /> Depth to Water <br /> Factor (VF) 6'- 1.50 12' 5 80 <br /> � -- „._ tt. <br /> T X VF —Z--")X 3 Icase vo)ume) F Estimated Purge Volume Iaal.l <br /> c <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment: Disposable B erail <br /> Stacie ga <br /> Cl ucti Pressure Bailer <br /> run UOs - Grab Sample <br /> Other: Other: <br /> tarting Time. Weather Conditions: ,— <br /> Sampling Time, 3 S `��-0water Color. <br /> • Odor:- <br /> Purging Flow Rate, _ adm_ Sediment Description: <br /> Did well de-watery _ ?„ If yes; Time: Volume: <br /> Time Volume pH Conductivity Temperature D O OAp Alka]irtity <br /> (ga])r pmhovcm -F Img/L) (MV)z-� ,?-- 6 6 j U 4 _ 96- Cl (Ppm) <br /> i S y41b_ _... <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (#1- CONTAINER REFRIG PRESERV.TYPE - LABORATORY ANALYSES <br /> 177 Lu- d - 5 X VOA VIAL Y HCL -SEQUOIA TPIi1G)/btex/mtbe./ {� <br /> OMMENTS / <br /> M74wiftj trm <br />