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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Tient/ <br /> %Cility # d Job#: I$o l 3 <br /> Address; c✓"* M Date: 11IJ9101 Y- _1/7.0% <br /> city: Sampler: J� k'!54 <br /> Well ID 'Mij- 3 Well Condition: &jL .. _ <br /> Well Diameter 2- _In. Hydrocarbon Amount Bailed <br /> Thickness' �' iproducclwated: <br /> Total Depth Z S.o Volume 2• 0.17 S' 03s 4"■•0.66 <br /> Factor(V� 6"w 1-50 IV�5.80 <br /> Depth to Water , .., +r <br /> X VF B �� 3'�Z' X 3 Icese volume) = Estimated Purge Volume: 9' ,I n god]1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Batter Equipment: IMsposable Baiie <br /> Stac1 <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other: <br /> Stardnp Time: +/`� Weather Conditions: <br /> Sampling Time: i-z'D Water Color: Odor- <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? 144 If yes; Time: Volume: <br /> Time Volume pH Conductivity Tempesab= D.O. <br /> AUn amity <br /> ;anhos/an or- (ml `� (FPVK) <br /> LABORATORY INFORMATION <br /> SAMPLE 10 lel- CONTAINER REFRIG. PRESI:RV.TYPE LABORATORY ANALYSES <br /> x vvo Vias Y 1-444 sue; wo1 A T IM rO <br /> c v i Z6 o <br /> COMMENTS: <br />