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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> •Client/ jlh a ee- <br /> Facility # ZSS Job#: z-910 s <br /> Address: /EE 1'q� - Date: <br /> City- - .� Sampler: <br /> Well ID Mme' Well Condition. e�-k <br /> Well Diameter Hydrocarbon Amount Balled <br /> SThickness- «- (product/water)Total Depth fr- Volume 2" -0 17 3" =038 4" 0 66 <br /> Depth to Water f'-Z 3 �� Factor(VF) 6"- ISO 12" = 5 80 <br /> I <br /> 30 { X VFX 57X 3 (case volume) = Estimated Purge Volume s 4'1IeaL <br /> Purge Disposable Sailer Sampling <br /> Equipment. Sailer Equipment: 5 5isposa le Bade <br /> Stack ea, er <br /> Suction Pressure Sailer <br /> Grundfos Grab Sample <br /> Other <br /> Starting Time 3 Weather CondLtions <br /> Sampling Time Time _ ��� — Water Color Odor <br /> Purging Flaw Rate I ap-m- Sediment Description <br /> Did well de-water? ftG If yes, Time Volume <br /> Tame -r olwme pH Conductivity Temperature D O GR2 Alkal t)r <br /> (gal} f+mhcs/an)(0o 'f (mgtL) (mom (PPM) <br /> 5- z <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> rP9&/A 7-,cYIM rBE <br /> '2r ✓ 11� r + -c P6.0(4)6w-1C!!4--p <br /> M--Ar-a 0AeOS ra4 <br /> 1 /ash,c- �, ttN 03 PDf/�rJ5 " <br /> 4 P:47-rk I:rS J /o k ----� IV►f'ra/Q ,S"u/ Q fe- <br /> �� a.r'rdoi Ir n <br /> ,e ad <br /> 1197 tl.w"c+T+ <br />