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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> :ntl <br /> ility # o s C-0 * S-'$Fe. Job#: <br /> Jress: Z We-sf M Date: <br /> Sampler: <br /> Wali ID —_ l�'1�f— Well Condition: 6 k, <br /> I Diameter _ 2 �r Hydrocarbon Amount Bailed <br /> al Depth <br /> Thickness: ® ' n (product/water): <br /> _ ��e�� ,, <br /> Volume r r 0.17 V-0.38 <br /> ith to Water Factor M V- 150 12' s 5.80 <br /> zzj � p X VF &-��i- -Q X3 (case voiuma) - Estimated Purge Vo)u": -r• r.,�i <br /> u9e Disposable Bailer sampling <br /> upmentt Bai of Equipment: �sableStack <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> rting Time: 1 D Weather Conditions: +r _ <br /> npling Time; I U 5`- Water Color: r Odor! Sj . <br /> ging Flow Rate: Sediment Description: <br /> I well de-water? 04 If yes; Time; Volume: <br /> Tame Volume pH Canducdv Tempemb= D.O. ORP <br /> <s�-3 �� f. (ms1-) (mom f'��'' <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (0)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> JNJJ�3 2x �qq �,a� Nc.� 59d;ztAotA T M-to <br /> )MMENTS: <br />