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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET . <br /> hent! - Job#: <br /> acuity <br /> Date: <br /> Address: <br /> • <br /> city: - <br /> SA Q Sampler: _ �-•— -- <br /> Well 1D rn W Well Condition: -Well Diameter ® Hydrocarbon ipn Amount Bailed <br /> Thickness: !C� (product/weted: <br /> Total Depth Volume ::20- 0.17 3" - 038 4" 0.66 <br /> ZZ,(:VF) 1.50 - 12"= 5.80 <br /> Depth to Water q <br /> /(� •�� X VF r 3-d X 3 ;cage volume} a Estimated Purge Volume: `' <br /> Inau <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment Disposable a <br /> Bailer <br /> Suction Pressure Bailer <br /> SuGrab Sample <br /> G ction <br /> Other: <br /> _ Dther: <br /> Starting Time: <br /> Weather Conditions: <br /> Sampling Time: - <br /> d 1.3D--0'2- Water Color: Odor: zk!�! <br />�PurfliiiQ Flow,Hate: - �a _ dirrrent-Description; <br /> Did well de-water? If yes; Time: Volume: ball <br /> Time Volume pH C¢�ucttMty Tunes cure (m O. (rnV) (�ty <br /> {gal.) an <br /> 0 . <br /> LABORATORY INFORMATION <br /> SAMPLE 10 I!l- CONTAINER REFRIG. PR€SERV.TYPE: LABORATORY ANALYSES <br /> V" 41A41t Nc-4 Lancaster 'n MTO <br /> w, -MA.jQr r b �►fr� wco <br /> • <br /> COMMENTS: j4,1.G(7 <br /> • ans�l�.a.lw" <br />