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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET • <br /> Client! o Job#: v Z 3 S <br /> Facility <br /> _ Address: 15-OZ- Al. C/ �= r <br /> Date. r <br /> City: <br /> S Sampler: <br /> Well ID Well Condition. <br /> d it- <br /> Well Hydrocarbon Arnount Bailed <br /> Wep Diameter <br /> Thickness: v.Co (productlweted: - -Iflell <br /> Total Depth S�o Valumo 2'm 0.17 3' 038 * V- 0.66 <br /> Facer(V>') 6'- 1-50 1.2 F 5.80 <br /> Depth to Water z$`G a <br /> X 3 (came volume) — Esom <br /> meted Purge Volue: <br /> x VF <br /> Purge Disposable Bailer Samprno <br /> Equipment: is osabl <br /> Equipment: Bauer Bailer <br /> Pressure Bailer <br /> Suction Grab Sample <br /> Grundfas Other: <br /> Other: <br /> Starting Time: ✓, q Weather Conditions: - <br /> • <br /> Sampling Time: Water Color: IIP-r,, Odor:_ CO <br /> �1 �;1Y. <br /> Purging Flow Rate: l Sediment Description: <br /> Did well de-water? <br /> r If yes: Time: Volume:_ RGA-1 <br /> Canductivity Temperubm D.O. ORP �Y <br /> Time Volume PH Cm f (a►giLj (Inv) (PPm) <br /> (sem-) r <br /> LABORATORY INFORMATION <br /> SAMPLE ID lel- C0117AINER REFFi1G. PRESERV:TYPE Lp BpRATORY ANALYSES <br /> Mw Z S x vv4 v,AL 1? a44 SE c14/� 1817E x Im <br /> 6 apt �ti zDu4�FbB �°� <br /> COMMENTS: <br /> ers .a■ <br />