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WELL MONITORINGISAMPLING <br /> MELD DATA SHEET <br /> Antl 013 <br /> # Job#. <br /> Facility <br /> foScc � �q?�I J <br /> 4 ��G� Date: <br /> Address: � <br /> City: <br /> �- Sampler: <br /> Well ID <br /> Iva– Well Condition: � <br /> Hydrocarbon Amount Bailed <br /> Well Diameter <br /> Thickness: �, O G (productlwsterl: (•0d-1 <br /> Total Depth KFACWr <br /> 2' -0.17 3"=038 r -0.66 <br /> YF) 6'- 1-50 I -5.80 <br /> Depth to Water � <br /> ICA <br /> X VF X 3 (case volume) - Esurnated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Disp sable B 'i1r <br /> Equipment: Bailer 6ai of <br /> Stack Pressure Bailer <br /> Suction Grab Sample <br /> Grundf os Other. <br /> Other. <br /> Starting Time: Weather Conditions <br /> Sampling Time: <br /> Water Color: Odor- <br /> Purging Flow Rate: Sediment Description: <br /> If yes; Time: Volume: — ! <br />