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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> I,Clsent/ an a e4 <br /> Facility # zS�`t Job#: Q s <br /> _ <br /> Address: 166 S PS-5-i-11-Pr ,4i' Date: / `?o' <br /> City: Sampler: >// f',�S <br /> Well ID M1`/' Well Condition ey-'- <br /> Well Diameter Z 1, Hydrocarbon Amount Bailed <br /> Total Depth <br /> Thickness- (productlwsterl 1geLI <br /> S�q 6 i <br /> —�- Velume 2'= 0I7 3"=038 4" = 056 <br /> 2 61�. Factor(VF) 6"= 150 I2"=S 80 <br /> Depth to Water _ <br /> 2'/- 654 X VF _fT = 7 7� X 3 (case volume) = Estimated Purge Volume 1_3 z g tg � <br /> Purge Disposable Bailer Sampling <br /> Equipment. Bailer Equipment: Esposa le Bade <br /> Stack Bai er <br /> Suction Pressure Bailer <br /> rundfo Grab Sample <br /> Other Other- <br /> Starting Time / / ' Weather Conditions 6L-01— <br /> Sampling Time f J Water Color Odor &0_ — <br /> Purging Flow Rate - gym Sediment Description <br /> Did well de-water? ►1C _ If yes, Time Volume -- (^pl I <br /> Time Volume pH Conductwicy 'Temperature D 0 CUR? ALW-uty <br /> (gal) gmhoslcm)e/mo 'f (mg/1-) (mV) (Ppm) <br /> 3L 9-3 <br /> l3S Sn <br /> LABORATORY INFORMATION <br /> SAMPLE IO (#)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW -4 3 vo A -rpy 0.6TExlr�r8� <br /> s /7/17 L of /Y2 s 64 "C 1lr74rtl e.7 AIN 03pid lac <br /> j laS�'C HAI O3 67%4S <br /> " -- <br /> C,AAkMt£Al-TS r p�ot�:,. `� `r ` N�fry 1d/Seel{o= <br /> Q.r1rO 0 i Jr n <br /> S. /IG e <br /> 9127 new.Lrff" <br />