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', ' WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ i <br /> 'Facility rIe' C9/�'+�" Job##. z$oo <br /> �� �/�l • <br /> Address- _y36� Date <br /> ' <br /> City <br /> /,9cllb-pi Sar'npler:,' do-t_ <br /> Well lD � Well Condition 10„Or — <br /> Well Diameter .n Hydrocarbon Amount Bailed <br /> Thickness -0ir-10feet (productlwaterl' allons <br /> Total Depth Y zs;ztS"' Volume 2" = 017 3” = 0 38 4" = 0 66 <br /> „L 11 <br /> Factor(VF) �' -6" = l 50 ¢� 12' = 5 SO - <br /> Depth to Water <br /> f <br /> X VF X 3 (case volume) = Estimated Purge Volume -Wall <br /> Purge Disposable Bailer Sampling <br /> Equipment Bader Equipment Disposable Bailer <br /> Stack Bailer <br /> Suction' -' Pressure'Bailer s - <br /> Grundfos Grab Sample <br /> Other - w Other • ye - <br /> r � 1 <br /> Starting Time - Weather Conditions - - - <br /> Sampling Time - Water Color Odor <br /> Purging Flow Rate. Sediment Description <br /> Did well de-water? If yes, Time- Volume ai <br /> Time Volume pH Conductivi Temperature ORP Aikaluuty <br /> umbo (mVp...-.. (m�. _(PPm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID w(#1 - CONTAINER ^REFRIG PRESERV TYPE i LABORATORY ANALYSES ry <br /> 4 <br /> COMMENTS- ti r <br /> y i <br /> 9197�IdaLhm <br />