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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Z_ c� Job#: Sr�183 <br /> Facility # 1-0SfQ,-0 <br /> Address: <br /> Date: <br /> Sampler: <br /> City: <br /> Well 1D <br /> � - Well Condition: b <br /> Amount Sailed <br /> Well Diameter Hydrocarbon �,Thickness: CID (productlwst60% <br /> CM <br /> . 9. 038 �' 066 <br /> Total Depth V�= 2 — a17 ^ iSo 12- 5.80 <br /> Depth to Water 12•. <br /> XVr <br /> jj,/�` I' X S (ces*volume) Eatimeted Purge Valurns: <br /> Disposable Sailer Sampt'inty <br /> =411er Purge Equipment: sab <br /> Equipment: Bauer Bailer <br /> Steck Pressure Bailer <br /> Grab Sample <br /> Grundfos Other. <br /> • Other. <br /> S� Weather Conditions: } <br /> $tartir� Time: <br /> Odor— <br /> / 4 —� Water Color. <br /> SamplingTime: <br /> purging Flow Rate' Sediment Description, -- <br /> Did well de-water? � <br /> if yes; Time: Volume:. laaU <br /> D.O. ORP Ariwlinity � <br /> Tarrre Volume PH Tan. � (IMV) <br /> (911L) grahoWlan <br /> I. <br /> LABORATORY INFORMATIOugoRw7oaY ANALYSES <br /> SAMPLE lfl in- CONTAINER REFRIG. PRESERV.TYPE <br /> IyW,- �" Jr x vp4 J,AL. {.�44yo�A �dC . L,DL�1�E. � Z6�, <br /> COMMENTS: <br />