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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# CK"--,`—Q) '$ ��5�'_11 Jobb": <br /> Address: "2t-bS�: Date: o z- <br /> City: Sampler: V T <br /> Well ID �� ^ Well Condition: 4 .�- <br /> Well Diameter n Hydrocarbon Amount Bailed <br /> Thickness- ?P. t�—see 1productlweted: Ilo <br /> Total Depth 'r Z h- Volume 2`- 017 3"- 0.38 9' 0 66 <br /> Depth to Water _n- <br /> �. Factor(VF) 6-G 1.50 12'= 5 80 <br /> _ <br /> q' X VF a� C 2. 3 ;case volume} r Estimated Purge Volume, <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disable Bail <br /> lac <br /> Baelf <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: . <br /> terting Time: r Z'74-c— Weather Conditions: <br /> Sampling Time: 13 -. ...,� Water Color: 7 :-- Odor: n-o--3 <br /> Purging Flow Rate' aom. -Sediment Description: = <br /> Did well de-water? 11 yes; Time- _ Volume: <br /> Time Volume PH Conductivity Temperature D.O ORP Alkalinity, <br /> µ'no `"n _ � (irngjL) (mV) cppmlr <br /> 7`0- - <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1A'I- CONTAINER REFRIG. PRESERV. TYPE -- LABORATORY ANALYSES - <br /> �-3 X VOA VIAL Y HCL SE UOIA TPH1G)AAexltipi e-F�a <br /> QMMENTS: <br /> 9197-twftat hm <br />