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WELL (VIONITORING/DEVELOPMENT <br /> FIELD DATA SHEET <br /> 6lientf Zoo bel <br /> Facility „Vo QM E2 U?•1oc Ol Job#: / _. <br /> *dress. 43� E Mi,ner- At Date- 6 1 q - <br /> �c <br /> City ..,_,S1) C_k TvN CA Sampler. <br /> Well ID Well Condition O K <br /> Well Diameter i[L Hydrocarbon Amount Bailed <br /> Thickness Ft. Iproduct/waterl: foal.! <br /> Total Depth .�� ' �J t' n Volume 2'= 0 17 3" = 0 38 4" = 0 66 <br /> Factor (VF) 6" = 150 12" = 5 80 <br /> Depth to Water ft. <br /> Q X VF W� J C.G X3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Bailer Sampling — - <br /> Equip Disposable Basler l v P, <br /> Equipment* Bailer Eq p <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos_ Grab Sa pie--- — -�--�— <br /> ther Other iJ t 13 TTn rel <br /> 1..1-1 °a{I14- r� <br /> Starting Time �i }},, Weather Conditions �A <br /> lampling Time # `i" Water Calor C L F— Odor <br /> Purging Flow Rate m Sediment Description <br /> Did well de-water? _ ply If yes, Time Volume incl► <br /> Time Volume pH Conductivity Temperature D O ORP Alkalnuty <br /> (gal) umhos/an "C (mg/L) (mV) (Ppm) <br /> 7 y ' <br /> 6 2 - • <br /> LABORATORY INFORMATION <br /> SAMPLE ID {!►I - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> V _ py G `t5 E o r Twm-F <br /> U0 , �1 e >I <br /> p� <br /> COMMENTS u`' O 5�}MPL1=S U - 1 °Z ( �c� �) g'� PaSR�L1� <br />