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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # t Z 8 Job#: -z&6.S <br /> Address: -Lf - Date: a �'I <br /> City: Sampler: <br /> well 113 well Condition: _.` <br /> Well Diameter Z Hydrocarbon px-.> Amount Bailed <br /> Total Depthtt <br /> T?sickness: (Pfoductlwater): <br /> S 3.�-Z <br /> Vdumc 7'im 0.37 3'W 038 v 0.66 <br /> Depth to Water 23 4 Factor C 6"w 130 12" 5AD <br /> -34, x VF -!>• x3 (case vdwne) - Estimated Purge Vdunw: <br /> Purge Disposable Bailer Sampling <br /> 4gtuprreent: Baller EgWpment; ; ble B <br /> Bailer <br /> coo Pressure Bailer <br /> Grundfas Grab Sample <br /> Other; C Cher. <br /> Starting Time: Z,�`71 } Weather Conditions: <br /> Sampliri0 Tirne: 1 7, (0 Water Color: Odor. a io <br /> Purging Flow Rate: - rim Sediment Description: <br /> Did well de-water? — _ rt2� if yes: Time: Volume: <br /> Time Vol mae pH C bdactMty Tampesat=C D.O. ORP ADMUMW <br /> (PL) 9mbowlan f- (e119�) 4MV) {Ppm) <br /> rL <br /> 61. 0 <br /> LABORATORY INFORMATION <br /> SAMPLE IO (0)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> r --� .3 tc Vqq •NAt. ScQuoiLipti fa JAMM tO <br /> COMMENTS: <br />