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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> ClientlJobb: <br /> o t $ <br /> Facility <br /> s: Date: <br /> Addres <br /> czs7� r- a. ' <br /> Sampler: Le <br /> S <br /> City, - <br /> ` <br /> Well IDS Well Condition: <br /> Well Diameter Z Hydrocarbon Amount Balled <br /> Thickness: tproducWwstdd: <br /> Total Depth �Z` vol. r=oar W=O X38 <br /> t�7 luso >r=s.aO <br /> � <br /> Depth to Water Z <br /> C <br /> 13,sy 1� <br /> t3•� X VF X 3 (case volurrwl Ernetad PurOe Volursw: <br /> Purge Disposable Sailer Sampling <br /> Equipment: Bailer Equipmer D' Ba r <br /> Pressure Bailer <br /> Grab Sample <br /> Grundfvs <br /> Other. Other: <br /> Cco LIP <br /> Starting Time: to-b Weather Conditions: <br /> Sampling Time: <br /> O Water Color: C-~E4Q Odor <br /> Purging Flow Rate: pay. Sediment Description: <br /> Did well de-water? ALO.. tf yes: Time: -. Volume: r...�t <br /> Time VoLwmre p8 Conducdvky Twupezawre D.O. ORP AUMUVIW <br /> 34 <br /> 4R7 <br /> �.-- �---- <br /> LABORATORY INFORMATION <br /> PRESERV.TYPE LABORATORY ANALYSES <br /> SAMPLE ID ill- CONTAINER REFRIQ• 'fox s <br /> COMMENTS: <br /> 4 <br />