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r WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> tent/ for-h�.er�` <br /> Facility 3 o!Z 3 Job#: <br /> Address: lU a,• Date: <br /> City: i'70- Sampler: ..._.... <br /> Well ID Well Condition: e7 _ <br /> Well Diameter Hydrocarbon Amount Bailed <br /> 7at81 Depth Thickness: Q'd Rproduct/waterl: <br /> .GCS <br /> vaz, z' oar s-EMo3s <br /> Depth to Water Fs ,or( ? 6'- ISO 12" 5.80 <br /> f� LX VF2'/ X 3(case vahirnel - Eati.rw ed Purge Volume: GERI <br /> �' S <br /> PurgeEs osable B ilex Sampling <br /> Equipment: Bailer Equipment: CTZ. osable <br /> Static Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other, Other. <br /> Starting Time: Weather Conditions. <br /> Sampi'ug Time: d ;! Water Color: - - - A(r p " Odor• <br /> PLi inq pow Aare: Sediment Description: <br /> Did well do-water? U If yes; Time: Voiusamm rQ,u <br /> Time Yoiume PFI canducoviLy T=npe=b= D.O. OIiP Anmurd3+ <br /> (gai) wahawcra (mSOL) (mV) (PPM) <br /> q 3-T4 <br /> LA130RATOFVY INFORMAMN <br /> SAMPLE IO (0)• CONTAINER REMIG. PRESBRV.TYPE LABORATORY ANALYSES <br /> u S x Vpq d/141- 11-419F. +18410 . <br /> COMMENTS: <br />