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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> 9ent/ C�e-Vf� C1 3 R 4�5 <br /> Facility - a� Job#: <br /> Address:a� O Q' <br /> p.,l' i l'� Date: 2 G <br /> City: DG ik/,+-b h Sampler: <br /> Well ID Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thicknes s• _ "40"- i#esti (productlwated: <br /> Total Depth � ' Vo9ume 2"- 0.17 9"—0.38 4' =0.66 <br /> Facwr(VF) 6'- 130 12' o 5.80 <br /> Depth to Water " y !1 <br /> X VF X 3 (case volume) - Estimated Purge Volume: "1�• <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Lisp�osa�bleail ' <br /> ZSuction • Pressure Bailer <br /> Grab Sample <br /> Other: <br /> os Other: <br /> Starting rime: Weather Conditions: <br /> Sampling Time: Water Color: Odor: h D <br /> Purging flow Rate• _ Sediment Description: <br /> • NG If yes; Time: Volume: ---Lau <br /> Did well de-water? <br /> 7"Une Volume pH Coed Temperature D.U. ORP Alkalink}' <br /> .p (mgf I.) (Inv). (PPm) <br /> *9 pnthoskm <br /> stn k3-'� - <br /> LABORATORY INFORMATION <br /> LABORATORY ANALYSES <br /> SAMPLE ID 1s1- CONTAINER REfRIG. PRESERV.TYPE <br /> MW- ( � • VOAV I AL Y sEnualA TPFi(Gl/btexlrrttbe <br /> COMMENTS: <br />