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WELL MONITORINGISAMPLING <br /> MELD DATA SHEET S <br /> Client/ <br /> -Facility S`F� _ Job#: it . <br /> Address: � IY - aate: <br /> City: Sampler: ., Okilt& <br /> Well ID --�1 - Well Condition: �lL _--•- <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: �' � I+- t roducVwaterl: <br /> Total DepthZ• volume 2'-0.17 V-038 0.66 <br /> Depth to Water FAMM M 6'- iso 12` s.eo <br /> !�O X VF y—{-{+ -- "f X,3 (,w,'VOA wm) - Eswv sod Purge VV'kpM: gr s 1941 i <br /> Purge Disposable Bailer Sampling <br /> Equiprnent: sailer Equipment: Dispo ble Bailer <br /> � <br /> Ste Ba e <br /> Su Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other. <br /> Starting Tme: a 17- Weather Conditions: C_/La <br /> Sampling Time: Zo Water Color. Odor- -nom_ <br /> Purging Flow Rate. rwo Sediment Description: <br /> Did well de-water? r If yes; Time: Volume: - - • <br /> 71me Volume pH Conductivity Temperature D.O ORP A tj► <br /> (8L) ondsoffAm f <br /> --�� — Z <br /> LABORATORY INFORMATION <br /> SAMPLE 1D (0)- CONTAINER REFRIG. FRESERV.TYPE LABORATORY ANALYSES <br /> r 5 x VvAq ViA4 S9rQUOrl <br /> T <br /> COMMENTS: <br />