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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> 'iientl <br /> Facility #-16an Clo / ,I 2--Z Sgn Job#: 2, t0_0 C-; <br /> Address: - Z&4.r-. ��t t & Date: <br /> City: Sampler: A <br /> Well ID Well Condition: <br /> Well Diameter — Z_ Hydrocarbon �, Amount Bailed <br /> Thickness: — m (product/water): <br /> Total Depth -5--- <br /> Yoaunne 2'- 0.17 3" = 038 4" = 0.66 <br /> Depth to Water ,7.6 Facsor(VF) it- 1.50 ] ' = 5.80 <br /> X VF S2s!"L =. .+.�"_ X 3 Icase valuma) - Eaomrted Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Baiter Equipment: i osable Basler <br /> <� Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> is Other: Other. <br /> Starting Time: io Weather Conditions: <br /> Sampling rime: /0$Ee- Sy��/ � Water Color. _ Odors- -n-Q <br /> Purging Flow Rate: .,I• � QPrn, Sediment Description: <br /> Did well de-water? M2 if yes; Time: Volume: <br /> 1rum Volume PH Conductivity Teruperabm D.O. ORP Alkalinity <br /> (PL) gmhoa/cm f ( >I�-� (MV) (PPM) <br /> 10 .. <br /> LABORATORY INFORMAMN <br /> SAMPLE 10 OV)- CONTAINEA REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> t4W- 3 x vm vi q L- Srm5�uo1 A 4 TO <br /> COMMENTS: <br /> iA7�Mltrclww <br />