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WELL MONITORING/SAMPLING <br /> �. FIELD DATA SHEET <br /> Client/ Job#: <br /> Facility # L! ' <br /> � Date: /0 � <br /> Address: � � �° c ' �� <br /> Sampler: <br /> City: <br /> Well ID <br /> Mj,�� /(� Well Conditions: <br /> 2Hydrocarbon Amount Bailed <br /> Well Diameter Thickness: (product/water): <br /> Total Depth t: G G Volumm 2" 0.17 3- - 0.38 12" 5.80 <br /> 4" - 0.66 <br /> Factor(VF) <br /> 6'� 130 � <br /> Depth to Water _ <br /> S. U x VF �� _ILDx 33 <br /> f <br /> 3 (case volurna) Estimated Purpa Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Disposable Bailer <br /> Equipment: Bailer Bailer <br /> Stack Pressure Bailer <br /> Suction G Same <br /> Gnlndfos Other. <br /> Other: <br /> r D 21 G Weather Conditions-. <br /> Starting Time: + _ Odor: An <br /> Sampling Time: !r� _ �� o Water Color. <br /> ,r � Sediment Description: <br /> Purging Plow Rate: Volume: , Inrl l <br /> Did well de-water? <br /> if yes; Time: <br /> Conducth ty Tempexa&= D.O. ORP Alkalinity <br /> Time Volume pH nha Wczn .F (mei.) (MV) (PPM) <br /> (PL) <br /> 6 q- <br /> LABORATORY INFORMATION <br /> SAMPLE ID IP} - cONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> Mj✓�It'G �?� VVA d1AL �`a. �eUOrA T rl /M TO <br /> COMMENTS: <br /> M7a1+li`s-4"" <br />