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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client) CH Et1 t20N 3 Ff L 94 3 <br /> Facility G1- O 'S 57 ,fob#: <br /> - Address: 5. CICO L- ss: Date: Ito" 01 <br /> City: ST`ocic owe CAA Sampler: rr2.4a�1c T;_, <br /> Well ID UJ— Well Condition: IILI - <br /> Well Diameter In Hydrocarbon Amount Bailed <br /> Thickness: - la. Iproductlwated*. <br /> Total Depth yd,=c 2' 0.17 V-038 V 0.66 <br /> . g <br /> Fee=(VF) 6"+• 1-50 L2"—5.80 <br /> Depth to Water <br /> _ _,1., • $ti X VF •� —�:sem X 3 (cage vdtime) — Estimated Purge Vokmw: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer ' Equipment: (Disposable Bailer) <br /> Stack� Sailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other. <br /> S�1�3 N'+' •. <br /> Starting Time: Weather Conditions: _ <br /> Sampling Time: Water Color: C Lf&& Odor- L\k - <br /> Purging.Flow Rate: �-O ,..,.,,_ Sediment Descriptions: <br /> Did well de-water? 1aC If yes: Time: <br /> . Volume: law I <br /> Time Volume pH CondacdvW <br /> )(J0V <br /> pqzb= D.O. ORP AD=UnW <br /> (PL)(8 -0 _F (&IL) (MV) (PPM) <br /> 3•S' . -7• o 3 - -76. R -- <br /> 5: <br /> -7-40 •--a Z 0• <br /> LABORATORY INFOR"TION <br /> SAMPLE IO (a)- CONTAINER REFRI(i. PRESERV.TYPE: LABORATORY ANALYSES <br /> W-g x V DA vs a s-- "c.L, V_ t F*I= T <br /> $G•40 tie <br /> • <br /> COMMENTS: <br />