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eS ie <br /> WELL MONITORING/SAMPLING <br /> S FIELD DATA SHEET <br /> Client/ y <br /> Facility # 7' Job#: 3 <br /> _ Address: - Date: - <br /> City: � Sampler: <br /> 4 <br /> Well ID Aik—j Well Condition:Well Diameter 2- u+- Hydrocarbon Amount Bailed <br /> Thickness' _ 40' T7 ( roductlwated: <br /> Total Depth 3 S'4n vCIUM 2' —0.I7 3"—038 4'- 0.66 <br /> Depth to Water <br /> tP /]S � Factor(VF) <br /> X VF u r ••cf -�D X S (case volwne) w Eromated Purge Vokmm: <br /> Purge Disposable Bailer swTgAno <br /> Equipment: Bailer Equipment: Dispo=Bailer <br /> 8a e <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> . Other..... Other. <br /> Starting Time: /b� � Weather Cond+tions: ---• - <br /> Sampling Time: Water Color. Odor- r--V <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? JtiD it yes: Time: Volume:. - + <br /> D.0 OUP Anmunw <br /> MUM volume pH � Tem (MOL) <br /> Imy� tPpm� <br /> (S�-) <br /> 1 `�> �, � �... <br /> LABORATORY INFORMATION <br /> SAMPLE ID (:)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 5 x VOA J+ateNaL 59d2u01A C.IBTS K 114 <br /> tog:f- <br /> nrd 6f' <br /> T <br /> COMMENTS: <br /> 4 <br />