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. WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Tient/ <br /> acilityJobs#: <br /> Adress:: ! 9 S Date: ,�'�„ _Qz <br /> :ity: V� �' � �? - - — Sampler: 1' C-- <br /> Well ID W Well Condition: G <br /> Veil Diameter Hydrocarbon Amount Bailed <br /> . Thickness; (productlwvier): <br /> total Depth Volume 2'- 0.17 8' - 038 4" Ci.bb <br /> Depth to Water <br /> Z - �D O Fier i 6'- 130 12'— 5.80 <br /> • X VP 21 r— X 3 (case volvrna) Esomaied Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: isposable Be!e <br /> a er <br /> ion Pressure Bailer <br /> Grundfas Grab Sample <br /> Other: Other: <br /> Starting Time: _ zaZ! Weather Conditions: <br /> Sampling Time: Water Color: Odor:_ 1 <br /> Purging Flow Rate: ._ �2'jp 013M Sediment Description: <br /> Did well de-water? If yes; Time: Volume: _ tgn. <br /> Time Volume pH ConduetWty Temperature D.O. ORP Anmunky <br /> (PL) ranhoelcm -C (x811-) (MV) (ppm) <br /> /O-Z , , •u L S�CoS _ <br /> 474 <br />...c. ... /y o <br /> LABORATORY INFOWM L-nQN <br /> SAMPLE 1D 10)- CONTAINER REFRIG. PRESERV.TYPE; LABORATORY ANALYSES <br /> W` x Vaq YiAt— 1r Nc f4 Lancaster <br /> COMMENTS: <br /> ansarMa.nm <br />