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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Ctrl a<,4 / <br /> Facility #_ ZSc"9 . Jab#: Z RE c s <br /> _ Address: /EE 5- 1 Date: <br /> City: 2-710C t-14-LN n Sampler: <br /> Well ID H1n/— Z Well Condition: <br /> Weil Diameter Z Hydrocarbon Amount Balled <br /> Thickness- (productlwater) _ (GAII <br /> Total Depth �9 `�`4 h <br /> Valumc 2"– 0 17 3" = 0.38 4" = 0 66 <br /> Depth to Water r* <br /> Factor(VF) 6" - 1-50 12" = 5 80 <br /> Z'`� ��" <br /> Z 34- X VF -17 -j—'31 X 3 (case volume) - Esumated Purge Volume t <br /> Purge Disposable Sailer Sampling <br /> Equipment: Bailer Equipment: ,spa Ie asBacle <br /> Stack Bac er <br /> Suction Pressure Bailer <br /> run o Grab Sample <br /> Other Other <br /> Starting Time g Weather Conditions <br /> Sampling Time t y se- Water Color Odor <br /> Purging Flow Rate I� gPm Sediment Description its <br /> Did well de-water? -n-Z% If yes, Time Volume (CAI � <br /> Time ralusne PH Conductivity Temperature D O OR? Rlkaluuty <br /> (gal -9'c a (mg/L) (mV) (PPM) <br /> 13 <br /> 13 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 ($) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 2- 3 Y d A PN&A BTEXAgy 5 <br /> - ✓ 1 A 6x -Ca&-jV <br /> j P laski C <, HAI 07?, P4&Q S <br /> C hC-PI-TS I �oi�; `� `` N+Ara-1d ..S'a I afl <br /> Q✓rGoS Iran <br /> ad. <br /> 7x97 11-W-2 Inn <br />