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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # �Gscr� # _�� _ Job#: „ y e©/3 _. <br /> Address.-ZiL/ �✓es rc.� 4.__ Date: <br /> City: <br /> �_ � � . _ <br /> - - —� - Sampler. - - — - <br /> Well ID Well Condition: <br /> Well Diameter sz = s -- —Hydrocarbon-�� -=T�- -- —Amount Bailed— <br /> Thickness: <br /> ailed- - <br /> Thickness: _ ` �- �- 1productlwstar): <br /> Total Depthf 5�3 o r._ <br /> Yoiusne 2'-0.I7 3"=038 4'- 0.66 <br /> Fuzor(YF) 6"- 1S0 Ir -5.80 <br /> Depth to Water f- <br /> X VF © l �+ /= X 3 lcass volume) - Esumated Purge Volume: in i <br /> Purge usable Sailer Sampling <br /> Equipment: Bailer Equipment: isposable Bailer <br /> Stack Bailer <br /> Suction Pressure Basler <br /> Grundfos Grab Sample <br /> Other: Other: <br /> c` <br /> Stardnp Time: 9 IQ % Weather Conditions: <br /> Sampling Time: c�2S (-d 010,1) Watercolor: _ i..+ ` ((,f Odor <br /> Purging Flow Rate: . &,/A Wca Sediment Description: s' 1/y _ <br /> Did well de-water? /V© If yes; Time: Volume: (GAL.) <br /> Tune Volume PH Conductivity Temperrb ae D.O. OR.P Alkalinity <br /> (gam-} ovi:h"cm C (mom-) (roti') (PPM) <br /> 27 Cl <br /> 793 -._�z <br /> LABORATORY INFORMATION <br /> SAMPLE Ip iii- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 1 AI E S x V00 VAAL_ :.,•i; RSC; <br /> COMMENTS: <br /> sm7n.w.Ran <br />