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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/ C 4 \�/ IZ O(Q <br />Facility # <br />-4:15- <br />-Address: 3c,1 Wf7_rJELEIIIA9114. <br />City: LOOM 64 <br />• <br />Job#: q 0 <br />Date: 7_ ,l �x _ oc, �itton�i 42,dZ`� <br />Sampler: 1 iii f ��ra �.'. �✓ f " s� <br />Well 1D fVt LOr R Well Condition. <br />Well Diameter 11 Hydrocarbon Amount Bailed <br />Thickness (product/water) <br />Total Depth ° Volume 2• p 0 17 3' - 038 4" 0 66 <br />Factor (M 6' - 1s0 12' a 5 80 <br />Depth to Water <br />f <br />X VF 2'17 0 X 3 (case volume) a Estimated Purge Volume (gal -1 <br />Purge Disposable Bailer <br />Equipment: Bailer <br />Stack <br />AS ctl i <br />rundfos <br />dffie-r_�__ <br />Sampling <br />Equipment: nsposable Bade <br />Baler <br />Pressure Bailer <br />Grab Sample <br />Other. <br />Starting Time. <br />10, ;3 Weather Conditions: <br />Sampling Time: 9 rT-2_V_­0) Water Color: ��' Odor <br />Purging Flow Rate: Sediment Description. <br />tam I <br />Did well de -water? r'�` if yes; Time: Volume: <br />Time Vim; P11ty T 0mh1M0= -C (mom,) (mV) � )�-79 j4 <br />LABORATORY INFORMA noN <br />... .., ...,.�A�uco aaeatr: PAPSEiRV_TYPE LABORATORY ANALYSES <br />COMMENTS. K� ' , i 1,, r K, <br />0 <br />• <br />