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WELL MONITORIN <br /> GISAMPLING <br /> FIELD DATA SHEET 3,0 <br /> Facility # J <br /> � �� ,ate , <br />=Address: Date:- - _- _ - _ --- -- <br /> Sampler: <br /> City: <br /> Well 1D <br /> V i,J—3 Well Condition: — U <br /> Hydrocarbon Amount Bailed <br /> fool I <br /> Well Diameter Thickness: U. G (product/weter): <br /> Total Depth " ft Volume 2' 0.17 3"-038 w S.BO e 0.66 <br /> Fact-or(W) 6' LSO 12 •, <br /> Depth to Water o � <br /> a. 77 X VF !L X 3 (case volume) . Estimated Purge Volume: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Disp sable B filer <br /> Equipment: Bailer Bai et <br /> pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other. <br /> Other. <br /> Starting Time: 12 / Weather Conditions. <br /> l D ` lr �� Water Color. fr" Odor <br /> Sampling Time: S� <br /> Purging Flow Rate.• 1 Sediment Description: <br /> � , if yes; Time: Volume: <br /> Did well de-water? <br /> D.O ORP A1hal�ty <br /> Timem Volume pH Corm Temper+t (m>L) (MV) (Ppm) <br /> �-F --- 3 - <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE 10 (#I. CONTAINER REFRIG. PRESERV.TYPE LABORATORY <br /> Nie. y��-jam: -r .4 Q fa fs t0 <br /> e-bs gaga) <br /> COMMENTS: <br />