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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET , <br /> _ e <br /> entl Z 8 Job#: <br /> cility # <br /> Date: <br /> f e.• <br /> Idress: � ac <br /> ty. Com- . Sampfer: ...,_t/I�k, S <br /> Well ID MAZ Well Condition: <br /> ell Diameter 2 Hydrocarbon Amount Bailed <br /> Thickness.. ——6- (product/weter): <br /> ital Depth Sy q vcauzm r 0.17 V-0313 4'- 0.66 <br /> �~ <br /> Factor(VF) 6'- 1-50 1v-5.80 <br /> .pth to Water <br /> g X VF .r — 7'1 'X 3 (lose volume) - Estimated Purge Volume: r`r fnel t <br /> Purge Disposable Bailer Sampling <br /> quipment: icer Equipment: Disposable Ball _ <br /> Bailer <br /> Suction _ Pressure Bailer <br /> Grundfos Grab Sample ` <br /> Other .... Other; <br /> .tarting Time: Weather Conditions: <br /> 41 <br />-�ampliriq Tir'r�e• ! -►=J= = / 1-�'/�1- =Water-Color:- - Odor: <br />'urging.Flow_Rate:= 1- Sediment Description: -- <br /> )id well de-water? If yes; Time: Volume: cp;� <br /> Time Volume pH <br /> CoAumardLy <br /> mTem sue D0.. O <br /> tm� � (»� Win) <br /> 13 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0 - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> Mw- /U ,3 r. VVA VIAL- A T rhr0 <br /> i <br /> COMMENTS; <br />