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VV6LL WIVAil I Uh1lVLa/ULVr-LUrlVlt111 t <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility - -- f) I 'D- S Job#: _ Q <br /> Address: ��G 11 C M1B R i 12 6L- ;Date: • <br /> City: L Sampler: P�� <br /> Well ID W Well Condition: <br /> Well Diameter Hydrocarbon Amount Balled <br /> Thickness: ( duatlwaterl: <br /> Total Depth M volume r a 0.17 7-0.38 4" 0.66 <br /> ,r� FacIMr( 6• 1.50 12"• 5.80 <br /> Depth to Water t.d <br /> •lX VF _� X, se volume) = Estimated Purge Volume: <br /> Purge Disposable Bader Sampling <br /> Equipment: Bar Equipment: 11 Disposable Bailer <br /> Stack Bailer <br /> uction Pressure Bailey <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: l a l -A n ' Weather Conditions: C <br /> Sampling Time: I Water Color: C L 6 uta _ Odor: <br /> Purging Flow Rater Sediment Description: PMD <br /> Did well de-water? " Iflyes: Time: Volume: +nal.l <br /> Time Volume pH Conductivity Tem Q D O. ORP A&aunity <br /> (Sal.) wnhoe%n► ( (mom) (mv) (Ppm) <br /> - - -- - <br /> +1(4- <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (A - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> MW� 6VOR7 5 CL 5UyFx i <br /> aer-5 ? <br /> COMMENTS: <br /> ares-�.w.rn�, <br />