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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET r <br /> Client) T rJob#: <br /> Facility ro Sc- <br /> -# <br /> Address: 16 �c�. 1' r Date: r -- <br /> City: Sampler: <br /> Lt Well Condition: ca /t <br /> Well ID _M 4/- <br /> Well Diameter Z Hydrocarbon Amount Balled <br /> Thickness: '� (product1wate4: T� <br /> Total Depth Zo 'S Vo]UM 2• 017 9•-038 'r 0." <br /> }� r�ctcr(VF) 6•- iso l2--5.80 <br /> Depth to Water LJ <br /> V Y� <br /> l 'j,• .►� X —L` X 3 (case Volume) - Estimated Purge Volume: <br /> jawj <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer ' Equipment: isposabl <br /> Bailer <br /> stack-, <br /> �uctia Pressure Bailer <br /> Gtirtdtos Grab Sample <br /> Other. <br /> Starting Time: Weather Conditions: — es&o <br /> Sampl'inp Time: Water Color: Odor <br /> Purging Flow Rate- Sediment Description: <br /> Did well de-water? 1113 If yes; Time: Volume:. [a•L <br /> Time Volume pH <br /> ConductMW Temper <br /> (PL) �nnhos/cm '� <br /> r _.i�6,n ------ <br /> " 3 -If 47 <br /> LABORATORY INFORM"AMON <br /> SAMPLE ID (el- CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> Nl lt/`� 2i x V�q .4 A l-- S�Qcj o l <br /> A i+t TO <br /> z-Af-fYY& - <br /> COMMENTS: <br /> • snsarw.r.� <br />