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MONITORING WELL SERVICES ,*DATE : - / g� POLY TUBING: INVOICE : DRUMS DLVRD: CLIENT : FIELD TECH: FACILITY : L)ooco/ -T..S ,d MILEAGE: -7- - - �' 1 - �' 4o p L o j. /t i7ELL1'10. --------�-- --_-___--- ---j-----+----------+----------+----------� -- TIME: , ---+--- _- -+-------- -+----------{ 3,7 WATER ------DEPTHFT -- --- "' ----� WELL DEPTH . FT----------------------- T a _.f.�t�G_ � ;-________-� --------- ----- -+ +_ 2o. /o_ ��to +__!8• d WELL DIAMETER:DIAMETER: •� f -- -- _-__a_-H___ 'f __/-- --------- --- --------- WELL VOLUME: GAL y� i - --- -- -------------- - SHEEN PRESENCE: ; PROD THICKNESS: FT - � `----_-__�------___- -- -___--`-- -----� ---------- FIELD SAMPLE COLOR--f ---------+-------------------------------- ----------- --_+_-------_-'---------- ---------- - PURGE: --------------------+-------- E DEVELOP . :----------- -------------------------------- .1 41 It 00 -+ ------ -----+------- +- +- a --- ---------- ' ---� ---------, --------- 1 SAMPLE . --------------- ' METHOD: --"_e----------�----------e ---------;---------------------- ----;----------+------------------ ---+------------------ ---- PURGE RATE. `qpm} --------------------4----------4----------4-------------------- --- -- ----------+----------+----------+----------+--------- +- ---- a WATER VOLUME: GAL ` 4$ i TURBIDITY : HTU------;-----------+----------�----------+ ----------4----------- Is --------------------+----------+----------+----------+----------+----------- PURGED COLOR: � r PURGED-PRODUCT: GAL-+----------+---------- ----------;_--_______4-_-_-_-____ 41 1 PURGE SEQUENCE.-----+----------+----------+----------+----------+ --------- - --- -- -- -----------+----------t----------+----------+---------t+— ----- --- PROD. DELT . METHOD: ; � � . • w-- ----- ------------+---------- 1 --------- ' --- COHMENTS : � a Svfv,� ftw-f K qF, . ci.