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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility .-_1d'�t�: Z F E2 Job#: 2iLO-0 s <br /> Address: /6 z -r- ,Ao,,—,I�y. A Ae—. - Date: �f <br /> City: Sampler: 111 }- i --_ <br /> Web ID IT Well Condition: <br /> Well Diameter 2- Hydrocarbon CxD Amount Bailed <br /> Thickness: in- (Product/water): <br /> Total Depth b o�b© <br /> Volume Y— 0.17 r-038 +1" X0.." <br /> Depth to Water �T� ;. Factor ) 6"— ISO 12-•+5.84 <br /> 74! X VF �' �� X 3 lease valurne) - Eatmated Purge Volunw; A= O r.+.+t <br /> Kwgo Disposable Bailer Sampling <br /> Egtuprnent: Bailer Equipment: osable <br /> Stack Bailer <br /> Pressure Bailer <br /> Grand Grob Sarrgft <br /> Other: Other. <br /> Starting Time: 3.'a Weather Conditions: <br /> Sampling Time: f Water Color; Odor. tzQ <br /> Purging Flow Rate: paw. S"rnent Description: <br /> Did well de-water? If yes; Tune: Volume: <br /> Tine Vole PA CWJ.=t3vlep Te mpesatue D.O. ORP �r <br /> )aWkWA= f (m&Z) (mV) {PPm) <br /> ----------� <br /> LABORATORY INFORMATION <br /> SAMPLE lA 10)• CONTAINER AEFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> VVq v,Al- nr <br />