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5 <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> - Client/ ' <br /> Facility-W' cktl -Q-) ��X11 Jobb: W) <br /> Address: b �hv c� Date: S 6 © �- <br /> City: i� "}'U _5, Sampler: v <br /> Well ID L + 5 Well Condition: a <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Total Depth `� 9--D n. •�� <br /> Thickness: 0ie (product/weter): 110 <br /> _ 4 <br /> Volume 2'- 0 17 3"- 038 4' - 0 66 <br /> Depth to Water S f +�. <br /> Factor(VF) iV — 150 12"=S 80 <br /> �`� ' <br /> X VF( JT =�-e"� X 3 icese volume) = Estimated Purge Volume. _ <br /> 1081.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disputable Bailer <br /> $taC 13a-i er <br /> Suction Pressure Bader <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> �Starting Time: !/3 CU. Weather Conditions: <br /> Sampling Time: — ilS"ID Water Color: 61'!'7 Odor: nV <br /> Purging Flow Rate: 9QM. `Sediment Description: S � <br /> Did well de-water? _ �J�l ` If yes; Time: Volume: <br /> Tme Volume pH Conductivity Temperature D.O. ORP ADWiruty <br /> 11 -3 -2 —_ (mg/i.) (mom (PPm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#1- CONTAINER REFRIG PRESERV.TYPE - LABORATORY ANALYSES <br /> jj 5 X VOA VIAL y HCL SEQUOIA TPNIG►/btexi�piref-$ �Gc <br /> COMMENTS: <br /> arse-rieiai mn <br />