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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Job#: Ql S 3_ <br /> Address: X16 O Date: i-/1!2A) j <br /> y City: — - C Sampler: V/ - <br /> Well ID �+c — ' __ well Condition; b <br /> Well Diameter 2 Hydrocarbon Amount Bailed <br /> Thickness: fes,G?_� irL 1productlwstarlt <br /> Total Depth ��� _� <br /> Valuake 2'- 0.17 30- 0.38 i'� O.beS <br /> Depth to Water _ 17;3 '�� 'w 130 12• S.Bo <br /> X VF b./-!: X 3 (case voiunel EsorrwTed Purge Volume: i-.j <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bad Equipment: asable Bailer <br /> Stade Bailer <br /> Pressure Bailer <br /> Grundios Grab Sample <br /> Other: Other. <br /> Starting Time: — 1/AO CJ Weather Conditions: C'`Q-Q--� <br /> Sampling Time; dzlej Water Calory: ., jr,r7_ Odor• <br /> Purging Flow Rate: _ J OPIM Sediment Description: -C"Af" <br /> Did well de-water? o- H yes, Time: Volume: <br /> 'I've Volumt pH Cond ct3v'scy Tempesab= D.O, 01RP AUmn- r <br /> (94-) f- imp (PPM) <br /> cf 3 a g <br /> LABORATORY INFURmAmN <br /> SAMPLE iti R/l- CONTAINER AEFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> Edi; ' fl t.WY6213 Z61b) <br /> COMMENTS; <br /> sr.aar�.r-r., <br />