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WELL MONITORINGISAMPLING <br />FIELD DATA SHEET <br />0ent/ C 1+r X12 oral <br />Facility # <br />_ Address: 3c> I W'= LIE MA4 <br />City: L 6 D Z C 4, <br />Job#: 3 9)&q o <br />Date: 7- <br />Sampler: 5 2-- 1Z -RA <br />Well ID <br />M UQ� ,q <br />Well Condition: <br />0 A - <br />Well Diameter <br />Hydrocarbon <br />Amount Bailed <br />Thickness: <br />Iprod"tlweterl. <br />IL <br />e 0 66 <br />Total Depth <br />VOI,,= <br />2• - 017 3• a 038 a <br />Facm � <br />6* - 1-50 12" — 5 80 <br />Depth to Water <br />X VF ��' `' 15- it <br />t 6 c 1 + ` X 3 (case volume) - Estimated (Surge Volume: �. igaU <br />Purge Disposable Bailer <br />Equipment: Bailer <br />Stack <br />Suction <br /><iirundf� <br />Other: <br />Sampling -! <br />Equipment: isposable Bailer <br />Bailer <br />Pressure Bailer <br />Grab Sample <br />Other: <br />Starting Time: <br />/0-0 C Weather Conditions, '5 �`NN <br />Sampling Time: r O = 3S Water Calor. LJ ---i4 :- Odor- <br />Purging <br />dorPurging Flow Rate- Sediment Description: <br />Did well de -water? J If yes; Time: Volume: <br />Time volumeH Conductivity Temperature D O. ORP Amity <br />(PL) P man 1CF a (+��-) (nMV) (PPM) <br />o;Q ,-P -7s' <br />"., -7 2 !X 5 <br />12 �Is <br />LABORATORY INFORMATION <br />SAMPLE 10 U) - CONTAINER REFRIG. PRESERV. TYPE LABORATORY ANALYSES <br />6'1 x0ofiv1.4.L C� SEc�vor TPi+�-, <br />y I \I/_ W r <br />IFOMMiNfS:=,(�� �- Lcf rY <br />