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WELL MONITORiNG1SAMPLING <br />FIELD DATA SHEET <br />'Went/ C r 2 ori! <br />Facility # <br />_ Address: <br />City: L o D I C A- <br />Well ID LO Well Condition: <br />Well Diameter <br />Total Depth <br />Depth to Water <br />Purge <br />Equipment: <br />. J_ - ---L_- <br />.. WV <br />Date: <br />Sampler:) <br />7---2 (it -A, <br />'rcJZti 7_:Z <br />_� v <br />Tr- I q ,tet <br />•t -A, <br />Amman! RadP_d <br />r111C)Cr1esS� (productlweter) <br />volume 2" a a 17 3' - 038 4" - 0 66 <br />FactorF,6" 1S0 12' m 5 80 <br />� f- , �, 4f <br />, ' � —) X VF-, 17 . r X 3 (case volume) Q Estimated Purge Volume. (URI I <br />laiispasable,Bailer <br />Bailer <br />Stack <br />Suction <br />Grundfos <br />Other: <br />Sampling _ <br />Equipment: l sp0sable B lai e <br />Pressure Bailer <br />Grab Sample <br />Other: <br />Starting Time: / Weather Conditions: <br />sampling Time: - Water Color- <br />�' ` Odor- <br />Purging <br />dor <br />Purging Flow Rate: <br />Did well de -water? � <br />Time volume PH <br />(P.) <br />Sediment Description. <br />If yes; Time: I Volume:._ (ga(.l <br />Conductivity Temperature D O ORP Amity <br />Amar -C (m&R•) (mV) (Ppm) <br />LABORATORY INFORMATION <br />eocccov rvaF LABORATORY ANALYSES <br />COMMENTS: <br />0!j- <br />_-7 <br />LABORATORY INFORMATION <br />eocccov rvaF LABORATORY ANALYSES <br />COMMENTS: <br />