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WELL MONITORING/SAMPLING <br /> MELD DATA SHEET <br /> Client/ 3 <br /> Facility # Job#: <br /> Address: �i S . C_�--2- N-t- ,S�fi . Date: 0 " l <br /> City: <br /> S� Sampler: T� <br /> �- <br /> Well 1D <br /> 'rn isJ J Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness' Iproduct/wated: Lps!1 <br /> Total Depth ��• r Vduare 2"w 0.17 3"- 038 4" 0.66 <br /> mor( 6' ISO 120 -5.80 <br /> Depth to Water <br /> S 1 • 3 X VF X 3 (case volume) = Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: osable Bailer <br /> c <br /> Bailer <br /> SSuction Pressure Bailer <br /> SuctionGrab Sample <br /> Grundfos. <br /> Other: <br /> Other: <br /> Starting Time: 110 Weather Conditions: u�N <br /> SC.r41�#'r- <br /> Sampling Time: <br /> Z ►o-t-ol Water Color. Gtt?V9 O or_ <br /> Purging now Rate: •O pm- Sediment Description: <br /> Did well de-water? <br /> I11>) If yes: Time: Volume: . <br /> Tem tuim D.O. ORP Alkalinity <br /> Time Volume <br /> PH �pn*cs/cm (Mf/L) (mV) (PPM) <br /> LABORATORY INFORMXMON <br /> SAMPLE 10 10)- CONTAINER REFRIG. PRESERV.TYPE; LABORATORY ANALYSES <br /> nw--X— <br /> COMMEWS.- <br /> x VOq .!!AL44C-V Lancasi:er Y Lr*60 — <br /> � - .eco40 <br /> ani-h.w•.r� <br /> 4 <br />