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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Oclient / Facility Job#: <br /> Address: Date: <br /> City: Sampler: Vap <br /> N F- I A- <br /> Well ID Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: 1product/water): <br /> Total Depth Volume 2"- 0 17 3"-038 4" 0.66 <br /> Depth to Water <br /> I <br /> Factor(VF) 6"- 150 12" 5.80 <br /> t X VF ' 9 X 3 (cese volume) - Estimated Purge Volume. (COU <br /> Purge Disposable Bailer Sampling _ <br /> Equipment: Bader Equipment: �Dispos�ble Bailer-- <br /> Stack <br /> aileiStack Bader <br /> Suction Pressure Bailer <br /> Grundfos. Grab Sample <br /> • Other.ILLabOther <br /> Starting Time- L 3-`' Weather Conditions <br /> Sampling Time y S Water Color: Odor- <br /> Purging Flow Rate- ' Sediment Description. <br /> Did well de-water? If yes. Time. Volume- <br /> Tune Volume pH Conductivity Temperature DO ORP Alkalinity <br /> (gal) µmhos/an)(/0 c (m8/L) (mV) (PPM) <br /> i s S C I <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0)- CONTAINER REFRIG. PRESERV 'TYPE LABORATORY ANALYSES <br /> fV� Ir�PP- 7, x 40mN0A Y HCL SEQUOIA TPH-G/BTEXtMTBE <br /> COMMENTS: <br /> OM1 II�M../ww <br />