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WELL NIONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client! ;�.� 11 Qs— Job#: <br /> Facility # <br /> . I SZ1G �'v� Zn tv-o-s fc. Date: <br /> _ Address. <br /> City: - ,., Sampler: <br /> Well ID ���`'f Well Condition: ' <br /> 2- Hydrocarbon Amount Bailed <br /> Well Diameter �,�°� <br /> Thickness' 6 r ["� • iproduetlweter): 7`-' +od <br /> Total Depth L(' &_Z�' [F&Cf=UW(V:r_) = <br /> s' = 038 4" 0:66 <br /> 150 12' 5.80 <br /> Depth to Water <br /> X VFX 3 lease volume) Eedmated PV <br /> urge olume: +gam <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer ' Equipment: osa le Bailer <br /> Stack Bailer <br /> Pressure Bailer <br /> Grab Sample <br /> Grundfos <br /> Other; <br /> Other: <br /> SStarting <br /> Time: / c� Weather Conditions: <br /> Sampling Time: <br /> /S/S� Water Color: e- e 4 Odor- " f� <br /> Purging Flow Rate, 1 Sediment Description: <br /> Did well de-water? 1 If yes; Time: Volume: +oe1d <br /> Tame Volume pH conductmty Teapembne (3-9/0 <br /> �O. m� uui Y <br /> �'�`m f <br /> S. <br /> LABORATORY INFORMATION <br /> SAMPLE ID (1)- CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> 'r A M T� <br /> kIW'- ' P. VIN} -4+A` , <br /> COMMENTS: <br /> • en�ar4.u." <br />