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WELL MO NIT ORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # U Job#: <br /> Address: I Pcci e Date: Lo1- <br /> • City: S' 'Q Sampler: <br /> Well ID Well Condition: k <br /> Well Diameter Hydrocarbon Amount Bailed L <br /> Thickness: `� ' ��'� (producOweter): <br /> Total Depth �2,6 S--,, Volume Z`- 0.17 3" -038 <br /> Factor(YF) b"� 130 12" - 5,80 <br /> Depth to Water �q, ��+ <br /> ? X VF r X 3 (ease Volume) - Estimated Purge Volurrw: .� <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable13�agile <br /> Bay er <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other: <br /> Starting Time: -� Weather Conditions: 5 / <br /> T -TSampIing=Ti ne: Water Color: Odom.64, <br /> Purging Flow Rate, qpr= Sediment Description: <br /> Did well de-water? T� �'.t�,.. 4 !f yes;- Tuna;� volume <br /> 111me Volume PH ConductMty Tc-peraus:ti�=D.O:-+= =— OIRP --- Alkalinity <br /> (PL) mmh4 cm *F (mom-) (mV) (PPaa) <br /> LABORATORY INFORMATION <br /> SAMPLE to 10)- CONTAINER R€FRIG, PRESERV.TYPE LABORATORY ANALYSES <br /> M h/ <br /> ff <br /> COMMENTS: <br />