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i <br /> I <br /> WELL MONiTORINGlSAMPLING <br /> FIELD DATA SHEET <br /> .1;ent1 s � <br /> :acility Jobb: <br /> Ta�cv <br /> Address: - <br /> _ - - - Sampler: <br /> city. <br /> wen lD MW— Z Well Condition: <br /> 2 - Hydrocarbon = _ = Amount Bailed <br /> Well Diameter a. 40 C�-- - {productlr+etsr): ._. rnwl_t <br /> Thickrness: <br /> Total Depth Z`}: Yd+>arr r• 01 V 150 12' 5.807 3' OM C fl,66 <br /> � � <br /> F&CUW <br /> Depth to Water a �y <br /> X VF Z"-r X 3{comae volume} — Eattmated Purge VCKKM: `1 In,d.l <br /> Purge Disposable Bailer SamPTing <br /> Equiprtnerrt: sable Ba' <br /> Equipment: Bailer Bailer <br /> Stack pressure Belief <br /> Grab SamPle <br /> Grundfos Other: <br /> Other. . <br /> � Weather Conditions'. <br /> Starting Time: Odor. Ad Cam <br /> Sanvrl ng Time: ` Sv Water Color. <br /> Purging Flour Rate: 1.---- - Sediment Description: <br /> if yes; Time: Volume: <br /> Did well de-water? , <br /> cmiducuVILY <br /> D.O. ORP Anmuv&y <br /> Tnae Yom} PA T tmJ } (SON) (PPM) <br /> '3 6 S ------ ------ <br /> b � <br /> LABORATORY 1NFORM1MN <br /> Id SAMPLE W {sl. CONTAINER REFR{G. PRESERV.TYPE ueoRATORY ANALYSES <br /> JN w+ 2 X VVA TIAL_ <br /> Nas ��r.IDi R M �> <br /> COMMENTS: ' <br />