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WELL MONITOR]NGISAMPLING <br /> FIELD DATA SHEET <br /> Jwt/ <br /> Facility # oS Ey Jo b#: <br /> Address: `��� ' <br /> � Date; <br /> City: <br /> 5 • �fC�cn c�. Sampler: s <br /> Well ID <br /> /y w Well Condition: ' <br /> 21- Hydrocarbon �zJ Amount Bailed <br /> Well Diameter o Iproducrlwstar): <br /> Thickness: <br /> Total Depth �� Volume Z" -4.17 fl38 4"- O.bB <br /> Fvmor(VF') 6"- 1S0 12 - 5.80 <br /> Depth to Waterd <br /> 3°I ?L <br /> X VF �'!� +�� �X 3 (case volume) - Estimated Purge Volume: ZD . <br /> Purge Disposable Bailer Sampling <br /> Equipment: osable Bailer <br /> Equipment: Bailer Bailer <br /> S ck Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other _ <br /> Other: <br /> Starting Time: C, J Weather Conditions: <br /> I °1) Water colon <br /> Sampling Time: Odor• <br /> 1 z( <br /> r Sediment Description: <br /> Purging Flow Rate: pO0" Volume: ._ <br /> Did well de-water? if yes; Time: <br /> Time <br /> Volume pH Comm Tempes+ (M <br /> O) V) <br /> �3 <br /> LABORATORY iNFORMATION <br /> SAMPLE ID (i}- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> s �Q <br /> X V %(JAL—A� � hl4�. <br /> M w- box s L.DG/}l��Ab' 8Z6a'> <br /> COMMENTS: <br />