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WELL MONITORING/SAMPLING <br /> i FIELD DATA SHEET <br /> Client/ <br /> Facility � � �� Job#: L <br /> Address: qf � Date: '1/z 6�� � �'•`x �,��'�'�•�- <br /> city: Sampler: <br /> Well ID a V- Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness' Rproduct/wated: <br /> Total Depth 2 q /0 voles 2"- 0.17 r- 038 4"- 0.66 <br /> �CM �- 1.50 12•-5.60 <br /> Depth to Water � • } <br /> X VF .. X 3 {case volume) - Estimated Purge Volurm: <br /> Page Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other. <br /> Starting Time: Weather Conditions: <br /> Sampling Time: Water Color: Odor <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? If yes; Time: Volume: <br /> Tame <br /> Volume pH ConductivityTsm <br /> D.0 AUmUxdW <br /> (m>�) zM (PPM) <br /> LABORATORY INFORMATION <br /> SAMPLE ID 1#)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> _ To <br /> E. <br /> COMMENTS: <br /> r1 <br />