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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Job#: j <br /> Facility <br /> 5 Date: <br /> Address: G s0 c �tL �:►�e rsf��4 <br /> 00 Sampler: <br /> City: 7 , r _ - - <br /> Well 1D C�., tJ S Well Condition: <br /> Amount Bailed llama <br /> Well Diameter Hydrocarbon Thickness' Iproducil-160: <br /> � �7 2" 0.17 3" ! 038 4" 0.66 <br /> Total Depth v � 60 1.50 - 12' - S.eo <br /> Depth to Water �� 3 <br /> X VF X 3 (case volume) , Estimated Pur99 Volume: rod <br /> Purge Disposable Bailer Sampling <br /> Eguipment: Disposable Bailer <br /> Equipment: Bailer Bailer <br /> Stack pressure Bailer <br /> suction Grab Sample <br /> Grundfos Oar: <br /> Other:------- <br /> Starting <br /> Starting Time: Weather Conditions: <br /> cu Water Color: Odor- <br /> Sampling Time: <br /> purging Flow Rate: sediment Description: <br /> Did well de-water? <br /> If yes; Time: � Volume: <br /> D.O. ORP AlkaUY <br /> T9me Vaiume PH Co �� Tempuatwe (X-S/L) (MV) (PPM) <br /> (P L) <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1Pl- CONTAINER REFRIG. PRESERV.TYPE' <br /> LABORATORY ANALYSES <br /> CGS &7 S'x VVA �lrA1� <br /> 41 v C- C40 i A T M TO <br /> s } <br /> COMMENTS: A/.D , <br /> �n»warms <br /> 4 <br />