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r <br /> p <br /> P. <br /> M <br /> Monitoring Well Fie"Id Sheet <br /> Sampler. <br /> C;ient: / /4 <br /> E. 1 Feld Dates: <br /> Project No.: <br /> Well I.D.: <br /> Location: � }--- Well Inform ion <br /> a� p� Diameter. 2" 3" 4" 5" S' <br /> Total Depth: Q Yes �No <br /> C'epth to Water: l Product: <br /> Depth to )squid: �' P fiickness (feet): <br /> -�Z//4 /GI I Color. <br /> Date: <br /> Time: i 3� Gammen S: <br /> T e: Oil/Water Interface ❑ Other�iactronic Indicator L3 Bell Sounder <br /> Probe Y�' — <br /> Purge Infermatiorl <br /> Met <br /> Ga#e Purged: <br /> ��! 4 ,a t <br /> Purge hod: Q Bailer Q Positive Displacement <br /> 7 �'Centri{ugal D Dedicated G +Sasispiacement I <br /> Calculated Purge: <br /> Actual Purge: a f Il C2 Other <br /> Temp(*91 Calor Odor <br /> Vat(gal) Tlne pH(std_units) E",(Wnhos) Q I <br /> I S R0 <br /> CcM ng�tt�s <br /> � <br /> Sample Information <br /> i <br /> l Sampler: <br /> No. Analysis <br /> Sample I.D: `3 Containers Pres. <br /> SizerTvoe <br /> Date Sampled: <br /> �� 1g1Grr,4-iI HcIG= 3X <br /> i lme Sampled: _ - ) ;.3Q Z I i I,At s-t <br /> Sample Method: <br /> Bai[er 0 Pasitive Displacement I 1 <br /> I a Decicat <br /> Comments: <br /> ed ❑ Other <br /> - - <br /> _ - -- - - - - — - <br /> urG�C.:FC <br /> 1 <br />