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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Cientl ��— v <br /> Facility # /o-S� Job#: <br /> _ Address: <br /> /�soo sow -rn.fiZrsla4 Date: <br /> City: Sampler: U'le�'vi <br /> Well ID f �''! Well Condition: — <br /> Well Diameter' Hydrocarbon Amount Bailed <br /> Thickness: r (product/water): rem ti <br /> Total Depth - f- Value 2"-0.17 3"-038 4" 0:66 <br /> Fater(1 6' 130 - LZ"w 5.80 <br /> Depth to Water 1 ` <br /> . T I• X 3 kasa volume} Ee4meted Purge VoluRne: <br /> X VF �_ <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer ' Equipment: ' osa �Baii <br /> Stau�e�J Bailer <br /> Pressure bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> 1 � <br /> starting Time: <br /> /S 3 c.;, Weather Conditions: <br /> Sampling Time: 0-S:'- Water Color: Odor- <br /> Purging Flow Rate: __ Qam. Sediment Description: <br /> Did well de-water? 1'`� If yes; Time: Volume: <br /> Tame Volume pH C� � TemppeMbMe (D-0.j (O� WV <br /> �} !' m za m <br /> IS-7 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0)- CONTAINER REFRIG. PRESERV.TYPE. LABORATORY ANALYSES <br /> X V 'l i R F 141. T F4 r4 70 <br /> s <br /> COMMENTS: <br /> • aAT�M1�..fim <br /> 4 ' <br />