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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Taient! ��' — <br /> cility #, 6��� Job#: <br /> _ Address: �f��� 1'QC-M,' Alk ' Date: <br /> City: Sampler: <br /> Sampler: ✓r - -- <br /> Weil IDy kl—3 Well Condition <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness- (product/water) <br /> Total Depth Z 3 <br /> FF.=7CVF) <br /> 2" =0 17 3^ =033 4" = 0 66 <br /> z4 N6 6" = 1sa 12'-580 <br /> Depth to Water ( n- <br /> / X VF Sri _-P—?7X 3 {(:ase volume) = Estimated Purge Volume ZZ 3�rrA�-i <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bader Equipment: sosable Ba, r <br /> Stack Bailer <br /> S von Pressure Bader <br /> Grun Grab Sample <br /> Other Other <br /> atart;ng Time _ z o --- Weather Conditions — <br /> Sampling Time 3 Water Color 6rd�---h%3 4 Odor w n�- <br /> Purging Flow Rate Z gprn- Sediment Descriptionce —d <br /> Did well de-water? /' If yes, Time Volume <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluuty <br /> (gal} untkiasJcmw� -¢ F`� (mg/L) (-V) (ppm) <br /> h <br /> LABORATORY INFORMATION <br /> SAMPLE iD (4) - CONTAINER REFRIG PRESERV TYPE LASCRATORY ANALYSES <br /> + e L v'JA- '576D r 0u G <br /> COMMENTS. <br />