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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET J ' <br /> Client/ T Job#: <br /> -- <br /> Facility # Lo sc-c; / 18D/ <br /> _ Address: �� svo. I Y <br /> - � Date: <br /> Sampler: �� '�` •— <br /> City: Fo • - <br /> Well ID M <br /> Well Condition: ki (A/e-t-) �` <br /> Well Diameter' Z Hydrocarbon Amount Bailed <br /> _ <br /> Thickness: �• (prV <br /> oducwater): 1gaLi <br /> Total Depth t i Volume 2" 0.17 ^ 1.s0 038 12" 580 4' 0." <br /> Factae(Vf] <br /> Depth to Water '$ <br /> / y � <br /> X VFX 3 {case volume/ Estimated Purge VdurM: .. rgaL <br /> Purge Disposa a Bai SemprnB <br /> Equipment: isposable Bail <br /> Equipment: er Bailer <br /> Stack Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other. _ <br /> Other: <br /> Starting Time: 1>410 Weather Conditions. <br /> Sampling Time: <br /> [� Water Color: d ri► • Odor- <br /> Water <br /> Flow Rate: <br /> Sediment Description: <br /> rp if yes; Time: Volume: ; <br /> Did well de-water? - <br /> P A Tcmpee D.O. ORP AUalitdRy <br /> Time ;Volume (-off ij' onvc) Imp (PPm) <br /> 1 a(4 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 {�!- CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> Sx vpl} v�aa* � µ4� SCQtioiA- r+�t0 <br /> COMMENTS: <br />