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1 { k S N <br /> WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> A <br /> Client) Job#: Z Sbe�) yf <br /> Facility <br /> Address: 3 Ery Date: �- <br /> Cy, Sampler: <br /> Well 1D' �� Well Condition: <br /> Well Diameter - n Hydrocarbo <br /> - Amount Bailed = -- - <br /> Thickness: iproduct/w eterU <br /> Total Depth -�;_9.-4Vdnme r•0.17 V:038 C-0 <br /> T&C=(VF) 6' 130 12" 5.8Q <br /> Depth to Water <br /> .. �' "X 3 ioase volume) Estimated Purge Vdurne: / dpaL <br /> Purge Disposable Bailer Sampiina <br /> Equipment: Bailer Equipment: i osable B er <br /> Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> k, <br /> Other. <br /> Other: <br /> k <br /> Starting Time: <br /> Z/ S Weather Conditions: �f ,� <br /> Sampling Time: //Wod Water Color. Odors - <br /> Purginq Flow Rater— w- . �� �= _-_=Sediment Descriptione__ <br /> If yes: Time: Volume: <br /> Did well de-water?— - --- -- -_ ----- - - - -� _� -- ---- - - -- _ _ - - _ - <br /> Time Volume - -PH - Canduc&AW TemP_erabne - D.O. ORP AUmUnW <br /> ISS) al"°dcm f ;(mg/Lj (mV) (PPm) <br /> �ZL <br /> « L <br /> LABORATORY INFORMATION <br /> SAMPLE IO 10)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 6-x VOA j§A1— ►-{c.4 .5� TBMK 114TOE--- <br /> -57-19 1 <br /> COMMENTS: •. <br /> 4 <br />