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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ T 1119 Job#, 1 1 f <br /> FaciiitY ° <br /> S��• �, ural <br /> Address: <br /> r�u ' Sampler: <br /> City: <br /> M k/ ,3 Well Condition: <br /> Well ID <br /> 2 Hydrocarbon Amount Bailed <br /> Well Diameter 7h;ckness: `� Iproductlwated: ia� <br /> 3•=038 4" 0.66 <br /> -Total Depth 'tom Vdume 2'm 0.17 6'^ 1S0 12" 5.80 <br /> Tam(VI-) <br /> Depth to Waur <br /> X 3(case WAUMS) Es�mstsd Purge Volume: <br /> IF <br /> sampling <br /> purge Disposable Ba' Equipment: os ble Bailer <br /> Equipment: Bal er Bailer <br /> Stock pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other: <br /> Other: <br /> / L Z S Weather Conditions: <br /> Starting Time: Odar• <br /> Water Color. <br /> Sampling Time: <br /> Sediment Description: <br /> purging Flow Rate: Time: Volume: <br /> Did well de-water? <br /> If yes; <br /> ductWILYTunp� D.O. ORP �lii►1ty <br /> Tame Volume pH .F (mg/L) (mV) ppm) <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID CONTAINER REFRIG. PRESERV.TYPE. Lp,80RATORY <br /> '=Z 0 i <br /> r-1 c.v � M t4 <br /> x VOA ViA`. Y Gvti yl+1,LAA ZAff�j$ BZfyd, <br /> COMMENTS: <br />