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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # cilif ' Job#: D a� <br /> r , <br /> Address: � �o� � 'dr '�° Date: <br /> City: Sampler: 4, <br /> _ <br /> Well ID u' Well Condition:IILI <br /> d t �`.�_•_ <br /> Well Diameter` I - - Hydrocarbon Amount Bailed <br /> Thickness- (productlwater)- <br /> Total Depth 4�'7 µ Volume 2"-0 17 3" a 038 4" - 0 66 <br /> 3 <br /> Depth to Water 94 Factor cm 6"- 1-50 I2"a 5 80 <br /> } f I <br /> 1 Z•KL X VF -a—a _ X 3 (case volume) - Esumated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: 6511 <br /> aiier <br /> Stack <br /> s G� Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other _ <br /> Starting Time: 1 A2 Weather Conditions: O d <br /> Sampling Time- w, Water Calor: I' Odor- <br /> Purging.Row-Rate.= Sediment Description: _— <br /> Did well de-water? If yes, Time. Volume w ? <br /> Time T_ Volume m pH--- Conducu!nty 1 dJ Temp�mture D O. ORP ADmIl uty <br /> .+ T <br /> r al-� ►has/ca'�C - - ��� - -(mF •) m (mom _{ppm) -El J? 2 7 2z 74 -' <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (0) - CONTAINER REFRIG. PRESERV TYPE LABORATORY ANALYSES <br /> r� <br /> COMMENTS: <br />