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WELL MON{TORINGISAMPLING <br />FIELD DATA SHEET <br />SSW .� <br />Facility M Q103 <br />Address: C ~ �- Val <br />. cry: C <br />Job#: t-9 D 0 k-�- 5 <br />Date: 46U <br />Sampler: 1 l}` ' <br />Wap 10 <br />U-15 <br />Well Condition: e <br />Well Diameter Hydrocarbon Amount Bailed <br />) Thicknesm (roductlwated'. <br />Total Depth � ( O vabnne r 0.17 3,-038 C - 0.66 <br />� (VF)e+ � 130 12" - 3.80 <br />Depth to Water <br />+ X VFQ4- .. X 8 (cane volume) - Estimated Purpa Vaiuerts: emu <br />Purge Disposable Bailer <br />Equipmeft Bail <br />Stack <br />,LSUETa—n <br />Grundfos <br />Other; <br />Samppng <br />Equipment: Di <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other: <br />in <br />Starting Time; <br />+ Weather Conditions: L0 u <br />Sampling Time: ' VL ellWater Color. Odor <br />Purging Flow Rate: �-` Sediment Description: <br />Did well de -water? If yes; Time: Volume:. ' <br />Time voluame pH ConductivityTemp` _ D.O.o� �► <br />(911L) ►cm 1t'meo (mom) omm Win) <br />6 Q- <br />4 1 <br />LABORATORY INFoRMAMON <br />SAMPLE 10 (0) • CONTAINER REFRK3. _ PRESERV. TYPE` LABORATORY ANALYSES <br />-- z;;- I %A -r. Von rhAL- <br />COMMENTS: <br />srs�r...aw <br />(v <br />