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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/ C I+r v 0- o(Q <br />Facility # Job#: —6 D <br />_ Address: 3o VA;� Date: _ ! - `� <br />City: <br />L v 1] 2 C l- Sampler: S�y&- 1-741 <br />Well ID % Well Condition- <br />Well Diameter Hydrocarbon Amount Sailed <br />_ Thickness (product/water)• <br />Total Depth " y 5 Voles 2"— 0 17 3" = 038 Jr s 066 <br />_ Factor " 6" a ISO 12'- 5 80 <br />Depth to Water <br />`L1 X VF"1/ -7 _ LL�X (case Volume) m Estimated Purge Voiume: 2 L2- (Ulu <br />PurgeSampling <br />EquipmentEquipment:ctibl� <br />Equipment: Disposable Bailer <br />Stack Bailer <br />Suction Pressure Bailer <br />Grundfos Grab Sample <br />Other: Other. <br />Starting Time: 5'� Weather Conditions. S' UO2 LV i - 0 <br />Sampling Time: Water Color. 6LOT— C` ~ Odor. ~- <br />Purging Flow Rate: qpw Sediment Description: <br />Did well de -water? IV '3 if yes; Time. Volume: _ tQal.1 <br />Time Volum PH conducavity <br />Temperahm <br />(D 0. P ty <br />(gaL) m m m71 MIX <br />LABORATORY INF=ORMATION <br />_...� _ ._ .... ......�...�rn ocean: PRFSEfiV_ TYPE LABORATORY ANALYSES <br />COMMENTS: A/0 C 1 l� <br />CSA/ <br />