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WELL MONITORING/SAMPLING .4- <br /> FIELD DATA SHEET <br /> Client/ Y <br /> Facility # to��-�= � � .)Ob#: -- <br /> _ Address: Date: <br /> City: <br /> Sampler: <br /> Well ID <br /> Mk/— Wen Condition: d <br /> Well Diameter' - Zen. Hydrocarbon Amount Bailed <br /> Thickness: ©'���- (product/water): <br /> Total Depth ��' S� EFLacumw <br /> s2-- 0.17 3'-038 -` 4* 0.66 <br /> (:VF) 6'- 1S0 az 5.80 <br /> Depth to Water ' <br /> • 3 :,a <br /> •� )( VF �1�7 �, X 3 (come volumel Esomated Purge Vokmw: <br /> law I <br /> Sampling <br /> Purge Disposable Bai{er iypovable Bauer <br /> Equipment: Bailer <br /> Equipment: <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other... : <br /> Starting Time: / / .� Weather Conditions: --- <br /> ' Q Water Color. fi `� Odom <br /> Ti <br /> Sampling me: �)4 <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? fie <br /> If yes; Time: Volume: rti" <br /> Conducdvity Te mph D.O. ORP A�llnitj► <br /> �- a <br /> LABORATORY INFORMATION <br /> SAMPLE ID (e)- CONTAINER REFRIG. PRESERV.TYPE. LABORATORY ANALYSES <br /> Awl 6--x vpq .r,aL- SgQuOlh � nrTO <br /> 6 oic s+I <br /> COMMENTS: <br /> i <br /> I <br /> .187fi.w..i.N <br />