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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ;fiend c _ 3 <br /> =acillty # C— �'� ' Lv� Jobb: <br /> Nddress: <br /> Date: _ /3. O1 <br /> Sampler: <br /> Well ID <br /> `m W Well Condition: 0� <br /> �p Hydrocarbon Amount Bailed <br /> Well Diameter Thickness' (productlweter): _., <br /> Total Depth Vdusm r= 0.17 3' — 0.38 V 0.66 <br /> �i r�(VI-) <br /> - iso Ir - s.sa <br /> Depth to Water Z ' y; . <br /> X VF �_ � = X 3 icaee volume} Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Bailer " Equipment: i osable Bailer <br /> Equipment: Bailer <br /> Pressure Bailer <br /> action Grab Sample <br /> Grundfos Other: <br /> Other: <br /> 01 <br /> Starting Time: ` rs' Weather Conditions: <br /> i dcat> <br /> Z Qq - <br /> Water Color: Odor- <br /> sampling Time; <br /> ^PurpiriglFlow"Rate•_2_,,,., Sediment:.D_escription: <br /> . w.0 If yes; Tin": Volume: . tom <br /> Did well de-water? — <br /> 12,0q 0 <br /> LABORATORY INFORMATION <br /> SAMPLE ID ! 1- CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> x VDA %fj 7 w3Lancaster T <br /> COMMENTS: <br />