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0 <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Fecility 7- 70 -- Job#: M-n sem. �f � <br /> Address: ,�'��`��, __ �-` -- Date: <br /> City: Sampler: <br /> Weil to Well Condition: <br /> Well Diameter Z Hydrocarbon Csc;) Arnount Bailed <br /> Thickness: _ ;j+- EproducUweted: <br /> Total Depth Aq y �J ( LvducacY-0.17 v–038 <br /> dr 066 <br /> Depth to Water Factax(ti) pi 130 12* 3 <br /> 80 <br /> L� X VF ©`I�1+1��X 3 lease vokmwl ft Enema:ed Purge Vokww. • <br /> Purge Disposable bailer Sampling <br /> Equipment: sailer Equipment: usable S <br /> Stack Baiter <br /> n Pressure Bailer <br /> Grundfvs Grab Sample <br /> polar; Other. <br /> Starting Time: „ r' Weather Conditions: <br /> Sampiuv Time: 16 ; U Sr- Water Color: Odor- <br /> Purging Flow Rate: — I_ Sediment Description: <br /> Did well de-water? If yes: Time: Volume: „ . _," ►,•�� <br /> Time Voimmee PEI CotrduCdVh7 TM%WXsbm D.O. ORP ADCOU12W <br /> (=SOL) (MV) (PP+a1 <br /> 3L <br /> LABORATORY INFORMb►TION <br /> SAMPLE ID 113- CONTAINER REFRIG. PRESERV.TYPE LA60RATORY ANALYSES <br /> 3 x V v+411- <br /> COMMENTS: <br />