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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET • <br /> Client/ <br /> Facility # o sc� `��` Job#: <br /> Address: Date: <br /> Cly, S Cck Sampler: <br /> Well 1D M W_J Well Condition: 1G <br /> Well Diameter Z Hydrocarbon Amount Bailed <br /> Thickness: RproduWweted'. <br /> c7 <br /> Total Depth 3 a,4T ft- veu F 0,17 3'-038 4*�0."Fxsor(M Ir: 130 12"�5.80 <br /> Depth to Water Z�.Z <br /> ' X VF 1' X 3 lases volume) - Esumnted Purge Volume: — . 1 <br /> Purge D'ksposable Bailer sampling <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Bailer <br /> Pressure Bailer <br /> Suction <br /> os Grab Sample <br /> GruOther. Other. .. <br /> Starting Time: 'O Weather Conditions: <br /> Sampling Time: L Water Color. Odor. i <br /> Purging Flow Rate: <br /> Sediment Description: <br /> Dsd well do T? If yes; Tune: Volume:... sow <br /> Time Volume pH T� (MVIL) y) y <br /> 0 4- <br /> LABORATORY INFORMATION <br /> SAMPLE lD (A- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> ✓ h!� TO I- <br /> .' x V aR VIAL- If t'3 t-a. �ECS 00/� -r M? <br /> • <br /> COMMENTS: <br />