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C <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ .� <br /> Facility-"O' C—C3 j Job#: <br /> �� •, <br /> Address: � d � Date: _ 5-4 Z— <br /> City: Sampler: t17— <br /> Well <br /> 17 Well ID L r ' ._ Well Condition: C� _ <br /> Well Diameter In. Hydrocarbon Amount Balled <br /> � ® Thickness: O` �� to {product/water]: <br /> _ Total Depth i - to - <br /> Volume 2" - 0.17 S.- 038 =4*-Depth-toFaclorM - --- - 6"� 1.50 ---12'_ - — <br /> S• 7 X VFd ` e L _N3 X 3 Icase volume) - Estimated Purge Volume. <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bader Equipment: sposable Bai <br /> Stec Bailer <br /> - suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> Starting Time: _ 1 Weather Conditions: <br /> Sampling Time: Water Color: Odor:- <br /> Purging <br /> dor•Purging Flow Rate: ^ r Qom. -Sediment Description: _ <br /> Did well de-water? J� ��•�W� <br /> If yes; Time: Volume: <br /> Time volume pH Conductivity Temperature D.O. OUP <br /> Alksafivity- <br /> 8/L) (*nom (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID I+rl- CONTAINER REFRIG PRESERV.TYPE -- LABORATORY ANALYSES <br /> X VOA VIAL Y HCL SEQUOIA TPHIG)/btex/wk*v+$f' s(8 a <br /> COMMENTS: <br /> • <br /> 9197-rim"t Mn <br />