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, <br /> a <br /> WELL'MONITORINGISAMPLING n t. <br /> 01ELD DATA SHr_r_T <br /> Client/ <br /> Facility 192 <br /> 1 , <br /> S6c�G� Date <br /> •`� <br /> Address, <br /> — 11 <br /> `Sampler ,- ' <br /> City: 11 <br /> Well ID `—'13 Well Condition <br /> H drocarborti + , ' Amount Balled 1 In n <br /> Weil Diameter Y <br /> ^ _ Thickness.' (fee-tl <br /> {p$roduc <br /> t/waterl _-ws11 <br /> (Gallons) <br /> �3'-=0 38 4 =,, Total Depth,- - .Volume` 2" 0 I7 12" <br /> Z3 Factor(VF) s'80, <br /> Depth to Water <br /> z ' <br /> , <br /> 6.05 rSlf6 <br /> S 6 vXs VF rte•r X 3 (case volume) Estimated Purga Volume Taal 1 <br /> „ <br /> Purge Disposable Balser Sampling' <br /> Equipment is osable Bailer 4 ' <br /> Equipment Basler 1 r1 <br /> Stack • _Bailer <br /> Suction Pressure Bailer <br /> { <br /> v Grab Sampier z` <br /> Other �� T Other <br /> P' ,1 y <br /> Starting Time L;Zy w _ Weather Conditions <br /> rP409-,;? 1 <br /> Sampling Time 2 . Water Colo — Odor _ <br /> Purging Flow Rate C10M Sediment Description <br /> :_Did..well=de=water'_ M ri4 — If yes, Time Volume' al <br /> i <br />- - Ttme-`-—Volume pH-- =-=Conductivity Tempera cure-•1� D O __ORP_ �lkalrntty <br /> (gat ) µm os/cm)000 of (rng(L) �� (mV) <br /> ' � 1 <br /> h <br /> 4_ LABORATORY INFORMATION <br /> SAMPLE 10 I#1 CONTAINER '= REFRiG PRESERV TYPE LABORATORY ANALYSES <br /> J W P 3 2jx qo� VZ'4 Y � + SEQUOIA TPHiGllhtexl�� <br /> r <br /> HM <br /> COMMENTS <br /> + <br /> , <br /> - 9197 Iltldat rim <br />