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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility# dc5�-O ��'7 Job#: l� <br /> Address: ' (LbS2 �. ��rtr�- �n U � Date: S (D Z <br /> City: '--K- Sampler: <br /> Well ID "~ _ Well Condition: r <br /> Well Diameter n Hydrocarbon Amount Bailed <br /> Total Depth <br /> Thickness• _ 0 {productlwater}: 1 <br /> ,_ Cf � ���. <br /> Volum[ 2'- 0 17 3'c 0.38 4'c 0 66 <br /> Depth to Water n. <br /> Factor(VF) -- 6' 1.50 12't 5,80 <br /> �i���— <br /> X VF -Z' �X 3 Icase volume} Estimated Purge Volume; loa1.1 <br /> Purge Disposable Basler Sampling <br /> Equipment: Bailer Equipment: osable B <br /> tac Bailer <br /> Suction Pressure Bailer <br /> Grundfos - Grab Sample <br /> Other: Other: <br /> �tarting Time. Z�b q-D Weather Conditions: <br /> Sampling Time: /��� Water Color: _ -#y-j7 Odor: /UZb <br /> Purging Flow Rate: mrin. -Sediment Description: 's-► <br /> Did well de-water? n,0 If yes; Time: Volume: <br /> Timt Volume pH Conductivity Temperaturc D.O. ORP plkalWt, <br /> (mg L) (M ) (ppm) <br /> 2E <br /> — , <br /> LABORATORY INFORMATION <br /> SAMPLE ID CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES - <br /> �,�},- X VOA VIAL Y HCL SE UOIA TPHIG}/btexligl�e�- <br /> ,COMMENTS: <br /> 9197-riktae.nm <br />