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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) _ <br /> Facility # /a-� C� � M CIA Job#. <br /> _ Date: <br /> Address: <br /> City:" Sampler: <br /> Well ID f�I"1 �° Well Condition: <br /> Well Diameter ta- Hydrocarbon <br /> Amount Bailed <br /> Thickness: 6� IProductlwater): <br /> Total Depth ! yds 2"-0.17 3"- 038 4" 0:66 <br /> _ Faa=(VF) 6" 150 L2"— 5.80 <br /> Depth to Water <br /> /'O,z X VF �� X 3 4".80'volume) — Estimated Purge Volume; �` 5 Inau <br /> Purge Disposable Bailer Sampling <br /> ]Equipment: Bailer ' Equipment: 's oso le Bailer <br /> S cck Bailer <br /> ��actio Pressure Bailer <br /> Grur�dfos Grab Sample <br /> Other: <br /> Other: <br /> 3 Weather Conditions: ram <br /> Starting Time: <br /> Sampling Time: 13 3 Water Color: Odor- _ <br /> Purging Flow Rate: I gprn Sediment Description: _f <br /> Did well de-water? if yes; Time: Volume: IONIA <br /> Tune Yoluum PH Com. tM Tan tune (n�� OUP Y <br /> �) m m an <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0)- CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> a -rM r4 <br /> COMMENTS: <br /> ` eA7�1.W.fim <br /> 1 <br />