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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> lientl Che yr o r) <br /> acility4 �- d5'5^7 Job#: <br /> %ddress: ccyl f Date: - - - -z f <br /> =jft� CSampler: .G <br /> Well ID z• Wali Condition: <br /> Veil Diemeter Hydrocarbon Amount Bailed <br /> Thickness: ILASU tproduct/woterl: <br /> fatal Depth <br /> [:V2' =D.17 9' • 0.98 4'- 0.66Depth to Water ZL . aot(V1•'y 6a 1 SO 120 - 5-80 <br /> 3Lczj X VF ` < X 3 Ecm volumsl - Eadmsted Pwgs Volume: <br /> Purge Disposable Bailer Sampling <br /> EgLdprr ww Bailer Equipmemt: sable Bal <br /> t$ Boiler <br /> S uciffain Pressure Bailer <br /> Grundfos Grob Sample. <br /> Other: Other: <br /> Starting Time: . E–• . Weather Conditions: () <br /> 0 <br />—Sampling-Time:-- <br /> Purging <br /> ime:Purging Row Neta: Z. Sediment Description: <br /> Did well de-water? AJ If yes; Time: Volume: <br /> Tine VOW= PH Conducdvky Temnpamtwe D.O. ORP Alk Wty <br /> LABORATORY INFORMATION <br /> SAMPLE 10 CONTAINER al:ralG. PRE8ERV.TYPE LAe0w4TORY ANALYSES <br /> MW` VOAV IAL Y UctSEQUOIA TPHjGI/bax/mtbg <br /> COMMENTS: <br />