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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility To 5 C 1 �-o Jeb#. <br /> _ Address; C�M C)7T► Date: <br /> Clty: Sampler: <br /> Wan ID ]C+�� Wen Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: ====7 <br /> iproduetlwated: <br /> Total Depth V Volume 2*s 0.17 r—03e , V-oAd <br /> L > (M Ir_ 130 1Z°+520Depth to Water <br /> X vP w x S (owe volume) - Estimated Purge Vokww: IOW I <br /> Purge Disposable Bailer Sampling <br /> Equipment: Mar Equipment: Disposable Salley <br /> 'FS-tack---k er <br /> Suction Pressure Sailer <br /> Grundfos Grab Sample <br /> Other. Other. <br /> i <br /> Weather Conditions: <br /> Starting Time: <br /> Sampling Time: 1 Water Color. Q�-49 -- Odor. - <br /> Purging Flow Rate: - Sediment Description: <br /> Did well de-water? 0 If yes; Time: Volume: •lam <br /> Time VoiusneH Cund*�vW Tem _ D.O. CORP AU=UnW <br /> omhoolcm(8�) P �— (mom) (MV) (PPM) <br /> Cl 13 <br /> LABORATORY INFORMATION <br /> SAMPLE IQ Rif- CONTAINER REPRIG. PRESERV.TYPE' LABORATORY ANALYSES <br /> r JC VDI qi qt— 6444 L. � /M r6 <br /> 1 <br /> • <br /> COMMENTS: <br /> sanw.r.� <br /> 4 <br />