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r <br /> I <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility Job#: 1 J 3 P <br /> Address:_- - - - _ - Date: _1*/t51 6 a/ <br /> City: <br /> Well 1D -- Well Condition: ' <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: (product water): <br /> Total Depth X01 <br /> Volume 2" 0.17 3"—038 4' 0.66 <br /> Depot to Water D IZ <br /> fact"CM 6" 1.50 12' 5.80 <br /> X VF 0__1LL X 3 (ease volums) — Estimated Purye Volume: .------ OA 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: i sable Haile <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other, Other: <br /> Startup Tina: Weather Conditions: <br /> Samp[ing Time: Water Color: Odor.- <br /> Purging <br /> dorPurging Flow Rate: Sediment Description: <br /> CW well de-water? ff yes. Time: ume:__ low I <br /> Time Volume Coaductiv}tq Tem D.O. p <br /> pifi � <br /> Im (ppm <br /> L ABORATORY INfORMAT[ON <br /> SASE ID VI - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> COMMENTS: <br />