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1 <br /> i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ;Bent! Job#: <br /> Tasc o s <br /> 'acility # <br /> - <br /> Date: <br /> Addres�: `- -- -�►� - <br /> e --Sampler: s <br /> C ' <br /> ttY' <br /> Wen ID MW (o Well Condition: <br /> d k- <br /> Amount Bailed `�, <br /> Well Diameter Z Hydrocarbon 1ptoductlwater): `? - tadl <br /> Thickness: <br /> 30-038 4--0.66 <br /> Total Depth valuaumr{ x' 0.17 60-. 1.50 IV—5.80 <br /> Depth to Water q. <br /> --ill-11 X VF 4JIt 3 lease Ilk"01 - Est;mated Purge Volunn*: <br /> Samples • �ble <br /> Purge Disposable Bailer Equipment: <br /> Egaipmerrt: Baler Bauer <br /> �stack Prcasure Bailer <br /> Grab Sample <br /> Grundfos Other. <br /> 0 Other. <br /> Weather Condrtiorss: <br /> Time: • Odor- <br /> Sampling <br /> Startin0 D" <br /> Water Color: <br /> Time: <br /> Sedmerst Description: <br /> purging Flow Rata: If yes; Tune: Volume: <br /> Did well de-water? <br /> D.O. ORP Ate► <br /> Volume pA Cos ho0cm Tcsnlois Qn� (*V) Wm) <br /> Time �} � <br /> -- - <br /> LABORATORY INFORMb►'nON <br /> CONTAINfA REFRIG. pRESERY,•r1fP>r <br /> LABORATORY ANALYSES <br /> SAMPLE ID I#)' 9m t 40 t A r4 �> <br /> COMMENn: <br />