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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET • <br /> Client/ Job#: <br /> l cI 3 <br /> Facility # %a s c--> o I Z _ - -- -, <br /> Address: 16 � w Date: <br /> - - — - -- - - — Sampler: <br /> City: - --- -- - <br /> Well ID Well Condition: ._d ' <br /> Well Diameter Z Hydrocarbon Arrlount Bailed <br /> Thickness• w. � 1productlwated'. <br /> Total Depth Z Qa IL. valuz= 2"- 0.17 6"s ls0 038 W �5.80 40 ..0.66 <br /> Depth to Water Facuff M) <br /> rb - X VF <br /> �• X 3 (case Volume) w Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: is o able Beller <br /> Stack <br /> GPressure Bailer <br /> S"R f s Grab Sample <br /> Or. Other. <br /> the • <br /> Startup Time: <br /> Weather Conditions: �/��� <br /> Sampling Time: tl �� Water Color. Odor• <br /> Purging Flow Rate: Sediment Description: S''-P- <br /> Did well de-water? GPM If Yes: Time: Volume: 'oma <br /> n.O. ORP Ani <br /> Time Volume pH T � �,) (mV) (ppm) <br /> (SOL) <br /> LABORATORY MFORMATION <br /> SAMPLE 1D RfFRIG. PRE5EAV.IP1. CONTAINER TYPE LABORATORY ANALYSES <br /> Src VVA •lrAL- Ir-I4� 5ccQ�la►A t <br /> � B s t� Z PCAfF.AK 8Z6e3� <br /> COMMENTS: <br />