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t 1 <br /> i <br /> I v r ! u <br /> „ PL'ING I <br /> r <br /> WELL MONIT4RINGlSAM <br /> FIELD'DATA SHEET <br /> Client) v S ,3 „ , ;"� ,Job#: ZSoo � f <br /> Facility # <br /> 1i <br /> 3 asf r FI• y Date: <br /> Address: ,11, --r- <br /> " , <br /> Sampler: _(/�,h ?!C -f' a✓�= y <br /> citys <br /> I <br /> r � , g Weil Conditio <br /> won ID n: <br /> - = , <br /> IAmount Bailed <br /> Well Diameter 2- Hydrocarbon <br /> 1*15'Thickness: <br /> roduetivreter): r <br /> Total Depth r Vole r—0.17 V-038 41"0.46 <br /> h mor CM <br /> 4rI iso L4'_5.80 <br /> Depth to Water t _ <br /> ' 1 ' e if �'A luau <br /> I ,I <br /> r~ X VF 'I ••1-=—" X a {case vdume)> Esdn-;n ad Purge Vdumf: <br /> I as <br /> \ Sampling <br /> Purge �r Disposable Bailer <br /> Equipment: i osa , <br /> :�� <br /> Equipment: Bailer r Bailer <br /> S a <br /> Pressure Bailer <br /> Su o Grab Sample <br /> ..a pal'Cru dfoa a.,,rr -yf. rN'r Y` - a .,� i.. i <br /> /y4 I s � I rs 'Ori I I <br /> Rr: stT�-. Y " t w -..-"_ _ _ , rt--•I• F - r' . <br /> Weather Conditions: <br /> starting Time: ��-- - <br /> pColor. Odors <br /> _ Sampling Time: —- Wate <br /> - - - r - — - <br /> Purging Flow Rate'.. - -=gedimerit Description:- —_- <br /> Y' mgod I <br /> Y__,._._.-�i4 yew Tire:- --�Velue: — <br /> Dicwell de-watar?, - <br /> I <br /> _ I <br /> �r - - - I- ' - ' Cosuducttvlt]' Tempaatuia ' D.0.- - ORP <br /> Tb= ,Vol PD ° r' {m 4m� 4PPm} <br /> I <br /> I I , <br /> LABORATORY INFORMATION <br /> CONTAINER REFR10. TPRESERV.TYPE LABORATORY ANALYSES <br /> S x Vflq vf+aL !r <br /> Y <br /> r <br /> t <br /> COMMENTS: <br /> IMqrd + t <br /> r <br /> el�faWwla <br /> i <br />