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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility UnOifet .lob# 284[7 �S <br /> Oddress: C Date -V1 <br /> City. IAC°. Sampler- <br /> Well 10 a w— 2– Well Condition /D I�— <br /> Well Diameter in Hydrocarbon Amount Bailed <br /> Thickness 6 teet {productlwated allon <br /> Total Depth (C7 tr Volume 2"=0 17 3" = 0 38 4"= 0 66 <br /> Factor (VF) 6" = 1 50 12" = 5 SO <br /> Depth to Water –L-rr, <br /> X VF X 3 (case volume) = Estimated Purge Volume (gal ) <br /> Purge Disposable Bailer Sampling <br /> Equipment Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Weather Conditions <br /> ampling Time Water Color Odor. <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water-) 1f yes, Time Volume al <br /> Time Volume phi Conductivity Tem ature D O A kahmty <br /> (gal pmhos/cm ap (mV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER REFRIG PRESERV TYPE i LABORATORY ANALYSES <br /> COMMENTS <br /> i <br /> sl97�Yd.r.nm <br />