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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ �$ iso 1 <br /> Job#. <br /> Facility # s --� - - - - — -- <br /> Address: <br /> r.,/'sr M - Date: <br /> city: <br /> �' Sampler: <br /> Well ID W^ Well condition: <br /> Well Diameter �- Hydrocarbon Amount Bailed <br /> Thickness: <br /> D (product/water): -OVA <br /> Total Depth 3S Ot L Vdnme Z'=0.17 3• 038 'r 0.66 <br /> Facsnr(VF) 6'� 150 12'�5.80 <br /> Depth to Water 6 ' a <br /> Z$ 41� X VF —0-12- + ' X 3 (case vaiurne) Estimated Purge Valutm: l S luau <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: jDg;p;o�sable BaffleStade <br /> quCto Pressure Bailer <br /> rundfos Grab Sample <br /> Other. Other: — <br /> 15-D 4- Weather Conditions: �cO r <br /> lt <br /> Starting Time: <br /> Sampling Tuna: 1 SZ 46) 19101 water color. _ Odor- <br /> Purging Flow Rate: )- Sediment Description: <br /> Did well de-water? JILZ If yes; Time: Volume: <br /> ORP AnmUnW <br /> Tsrae Yalu>'ae pH Conducthity T pmhosA= �m ,j (MV) <br /> , A91, <br /> LABORATORY INFORMAMN <br /> SAMPLE ID i*l- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> lyW b S X V00 Y1A5T�Uol A T r4r* <br /> I <br /> COMMENTS: <br />