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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ .01 <br /> acility4;t VZs Job#: IRQ�4 <br /> F <br /> Address: ,. � ( _ 1��.� . �� � � Date: -57-/13/-0 i <br /> City: �Z, INA- Sampler: If �. <br /> Well ID m Lj — Well Condition: t 7k <br /> Well Diameter In, Hydrocarbon Amount Bailed <br /> Thickness- 0. C5z:>Ifeett (product/water): 1 <br /> Total Depth _ 6P,,,n- <br /> Velume 2'- 0.17 9"a 0.98 9■ 0,66 <br /> Depth to Water -2g. 6 <br /> Factor(VF) 60- 1.50 120 5.80 <br /> _ ,G *�,: <br /> [i-1 - d X VF <br /> X 3 Icase volume) - Estimated Purge Volume: 13 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bader <br /> ucti Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> �tarting Time: Weather Conditions: <br /> Sampling Time: Water Color: Odor;_rrJr,". <br /> Purging Flow Rate: _ �� f eflm. -Sediment Description: <br /> Did well de-water? _ It yes; Time: Volume: <br /> Time Volume PN Conductivity Temperature D.O. ORF g1y�{�ty <br /> (gal. o r µmho cm - OF Z J (mom'! (MV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE IO CONTAINER REFRIG PRESERV.TYPE LABORATORY ANALYSES <br /> M o-- AIL X VOA VIAL Y ACL SEQUOIA TPNIG)/btexlmtbe <br /> �MMEN7S: <br />