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WELL MONITORING/SAMPLING <br />FIELD DATA SHEET <br />Client/ C 4 r '14 2 0fQ <br />Facility # - Job#: <br />_ Address: 30 �nl+`- � Date: <br />City. L v D I C l -V Sampler: <br />Well ID _SWT 1 d A Well Condition, <br />Well Diameter Hydrocarbon Amount Bailed <br />Total Depth C' <br />Thickness' -' i(product/water)r <br />`' Voice 2'- 017 3"-038 4" -066 <br />Factor (VE) 6" - 150 12' - 5 80 <br />Depth to Water <br />X VF"..X3 (case volume)- Estimated Purge Volume' i 4 3 pow., <br />purgeDisposable Sai[er Sampling <br />EquYPment' Bader Equipment: isposable Bai e,' <br />Stack Bas e <br />Suction Pressure Bailer <br />Grundfos Gram Sample <br />Other: Other: <br />Starting Time. <br />` 5-1 Weather Conditions: S �Ni(► <br />Sampling Time: Water Color: Lt Odor <br />Purging Flow Rate- GPM Sediment Description. <br />Did well de -water? — If yes; Time: Volume:._ (gal.? <br />Time volumeP H Coneduawity Temperature D.O ORP AUMU nity► <br />($L) ginbosA=iwp o (M&R-) (mV) (PPM) <br />:5 -(.S o F02 4- <br />3 7 <br />la 1 9-Z•4 - <br />LABORATORY INFORMATION <br />...r _ ._ .�. ......... �..rn eeroU-2 PR OCUMV_ TYPE LABORATORY ANALYSES <br />COMMENTS: <br />sn».wn.nM <br />• <br />• <br />• <br />