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ENVIRONMENTAL <br /> Groundwater Nlonitor Well MANAGEMENT <br /> Sampling & Field Data Sheet i =� C <br /> Location No. Date:_ 140- 8- ?6 Time: <br /> Sample No Weather- <br /> Project/Client: [ Conditions <br /> Air Temperalure <br />' Location: 6 Personnel <br /> Job No. <br />' WELL INFORMIATI N <br /> Casing, Dia. _ Intake, <br /> O Starnfess Steel Diameter VOlame or 2" and =� Casing Irl GalEons <br />' O Steel O Stainless Steel " <br /> PVC ( } Steel <br /> Teflon ( ) PVC 'O <br /> ( ) Other /�� /► Teflon Gats 33 <br /> 1 Water Level- a.V { ) Other 30 <br /> Total Depot: Well Conditions- W..c.,..,q <br /> Measuring Device Wel! Clean to Bottom 2' <br /> t ( ) M-Scop ( ) yes. ( ) no 20 <br /> (/Other S Well in Good Condition „ <br /> Volume of Water in ( ) ves ( ) no „ * C.a- <br />' Casing Surface Protection <br /> Datum Cleanyes, ( ) no <br /> ( ) Top of Sur; Casing Condi ron_4AP a <br /> e ,a =o <br /> ( Top of Well Casing ,,,, ,,,aw-...,w..rs»n <br /> ) Other tacit 5yes. ( ) no <br /> Purci-ic Data <br /> Method Tubing/rope Purging Equipment <br />' ( ) Bladder Purnp ( } Teflon Dedicated <br /> Barer ( } Polypropylene Prepared Off-Sire <br /> Fteld Cleaned <br /> Nylon ( J <br /> ( ) Suamersfble Pur-'p Y �Q� <br /> ' O Perisralac Pjmo O Other Time Series Data 110 <br /> m <br /> ( } Other Pumping Rate <br /> Materials Elapsed Time Measurement ltigliM47 2 3 <br /> Pump/Bailer Volume Pumped well Volumes O <br /> ( } Teflon Well Evacuated ( ) yes no Water Temp <br /> ( } S ainless Steel Number of Well Volume pH <br /> ayc Purged Orher(N� C{ <br /> Orher <br /> M no�rn Data <br /> Method ( ) ;ellon ?h stcaE & Chemical Data <br /> ( ) Bladder Pump ( ) Polypropylene Appearance <br /> ( } Bailer ( ) Nylon ( ) Clear <br /> ' ( J Suomersible aumo ( } Other O Turbid <br /> ( ) Pertsralric Pump Sampling Equipment ( ) Color <br /> ( ) Orher ( ) Dealcared { J ImmiscWe Product <br /> Materials Pump/Bailer ( } Prepared Oft-Site ( ) Other <br /> ( ) Teflon ( } Field Cleaned Filed Condition of Sample <br /> ( J S.ainless Steel Metals Sample Field Filtered Temp <br /> ( ) PVC ( ) Yes pH <br /> O Other ( ) No Other <br /> Materials Tubinglrope Merhod <br /> Certiticatron <br /> This sample Was collected and handled in accordance witn standard regulatory and corporate proceoures <br />