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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # c Z 11 JOIE#: <br /> Address: Date: �f �,�, �Z <br /> City: Sampler: —112YJ <br /> Wait ID Well Condition: <br /> Well Diameter Z Hydrocarbon 4,>-= Amount Bailed <br /> Thickness: In Ipraductlwstarl: <br /> Total Depth fL <br /> Vclame Z"-017 3"-038 4'..QA6 <br /> Depth to Water Z, Fact=(VF) 6'- 1.50 12' 5.80 <br /> —iLhl X VF t9-/ �r°' ZX 3 cease vokmwl w Esumated Purge V*kAm: 4 <br /> Purge Disposable Bailer Sampling <br /> quipmont: Bailer EgwiPmarK: osablar 8 <br /> Stock Bailer <br /> c Preawre Bailer <br /> Grab Sample <br /> 9 <br /> O&W-. Other. <br /> Staibnp Time: '© Weather Conditions: <br /> Sampling Time: �t I_3 Water Color. . „ 1 ac Odor <br /> Purging Flow Nate: <br /> �,.,_� Sediment Description: <br /> Did well de-water? n.(7 1t yes: rime: Volume: -- _ �, •_ <br /> TUN Vdame pH CosdvaWlty TCngMMb= D.O. ORP AUwUnky <br /> I Z <br /> iAsomTORY INFORMATION <br /> SAMPLE ID i 1 CONTAINER REFRIG. PRESPRV.TYPE LABORATORY ANALYSIS <br /> $i=¢LctOIA- <br /> ! <br /> r <br /> COMME[I[T$: _ae�(+ S6S fU o 4 <br />