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WELL MONITORINGISAMPLING <br /> 0 FIELD DATA SHEET <br />:lientlG _ tv Job#: 3 y <br /> acility C- � �� <br /> 1 �i Date: o <br /> kddress: <br /> Sampler: <br /> Nty.. <br /> Well 1D rn W Well Condition: <br /> HydrocarbonAmount Bailed <br /> Nell Diameter Thickness' ;product/water): U <br /> • 2'm 0.17 8" 038 !" _ 0.66 <br /> Total Depth) Volume 6"M 1.50 i2"^ 'S.80 <br /> Depth to Water <br /> ��/ �f <br /> 3 Lt. x VF �1 v X 3 lease volume) F Estimated Purge Volume: <br /> Purge Disposable Sailer Sampling <br /> Equlpment; sposable Bailer <br /> Equipment: Bail al of <br /> Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other: <br /> • Other; <br /> Starting Time. Weather Conditions' <br /> • J Watercolor; <br /> Odor- <br /> Sampling Time: <br /> Purging 2 Sediment Description: <br /> urging Flow Rate: <br /> AD If yes; Tine: <br /> Volume: <br /> Did well de-water? <br /> Condummty Tcmper?taut D.O. ORP ��Y <br /> Time <br /> Volume PH ��, -C (¢'F�) (mV) (PPM) <br /> wau! r 40 1 L•� �._ : �{! Cod'. .�_—�— --- --- <br /> L"ORATORY INFORMATION <br /> SAMPLE ID If)- CONTAINER REFRIG. PRESERV.TYPE. LABORATORY ANALYSES <br /> jx VaqLancaster <br /> mov Did' <br /> COMMENTS: <br /> 4 <br />