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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ' nt! <br /> =acility # 7' s Job#: I o 13 <br /> 4ddress: Zb2t tx^sct Loxrl 6chn Date: <br /> wNty. <br /> Sampler: <br /> Well ID M W- Well Condition: d' — <br /> Well Diameter Z Hydrocarbon Amount Balled <br /> _ <br /> Thickness: ` ` tn_ (produedwstar): T ro•+t <br /> Total Depth S ' 3 Velum 2'-0.17 9'-038 it= 0.56 <br /> 7 �cm 6'- 1.50 IV-5.80 <br /> Depth to Water 7 <br /> $f•40 X VF � Lx 3 lease volume) - Estimated Purge Volume: <br /> Purge i osable ler Sampling <br /> Equipment: saner Equipment: Disposable Bailer <br /> Stack �� <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: .—.,.LgjqWeather Conditions: .1k <br /> Sampling Time: I y 2-6 / (11 o0 Water Color: _ - '• -- Odor, � <br /> Purging Flow Rate: Sediment Description: s^ <br /> Did well de-water? If yes: Time: Volume:_... . _ #-.A IL <br /> Time Volume pH Conductivity Tempetaeute D.O. ORP ADmunity <br /> (Sol-) gnboa/cm, -F (ERS-) (=IV) (Ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> x van VjA1- i 1.144 sra?t4©1 A •rlam it Im-ra <br /> cOMMEN <br /> a1�7�1.Fi,M„n <br />