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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET . <br /> Client! - vJ Job#: <br /> r <br /> Facility # C-- �'� �' <br /> 1 . i S . C..�z.�-fi�-t v�'�' • ' Date: /0 - / -cel - !d Z tJi <br /> Address: <br /> _ <br /> �A " �- Sampler: �'C' <br /> City: <br /> Well ID <br /> rn W Well Condition: <br /> well Diameter Hydrocarbon 1� Amount Bailed <br /> Thickness: ? fin- (product/water): ztc [mei! <br /> Total Depth • Volwne r 0.17 3" -038 4! 0.66 <br /> Depth to Water <br /> Z 3• Faanr(VF) C- 130 12" 5.80 <br /> MO, �p X VF X 3 ;case volume) w Estimated Purge Volume: !k'45�pe1.1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: i usable Bai e <br /> -� Bailer <br /> Pressure Bailer <br /> Suction uctioGrab Sample <br /> Grundfos <br /> Other: <br /> Other: <br /> Starting Time: <br /> Weather Conditions: <br /> Sampling Time: Water Color: Odor• <br /> Purging Flaw Rate• 'O Sediment<Description: _- <br /> Did well de-water? If yes; Time: Volume: tQal.l <br /> Volume PH ivity p� <br /> Tum ConductTin tie D.O. O <br /> RF AlkAbdty <br /> (PL) pmhosAm "C (xnSIL) (MV) (PPM) <br /> �6 S� (�.d •fit /D <br /> LABORATORY INFORMATION <br /> SAMPLE 10 l#)- CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> X VVA V+aL- Y N44 Lancaster -rr4 TO <br /> 2;)CAWl JEW <br /> COMMENTS: <br /> Y <br />