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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ Job#: <br /> Facility # �v �-- --6 9l r- -- -- -_-- - - __-- 3��1� C-_ti _� /�al -- •• �_---- - <br /> Address: :L U Date: - -- <br /> City: <br /> Wall ID Well Condition: <br /> Hydrocarbon Amount Bailed <br /> Wel{ Diameter <br /> Thickness: � <br /> 15 � (productlwat"Id: Lf�Al <br /> 'Total Depth 3r, 3 O volume r-0.17 s•–o� 4�ano.� <br /> Haar(VF) 6' 1-5012 –5.80 <br /> Depth to Water 8' i' <br /> 0 <br /> X VF B� - X 3 (case vclums) = Estimated Purps VOIU"w: ..r�.�10MI.1 <br /> ' – <br /> purge Disposable Bailer Sampfin4 <br /> Equipment: i salaie Bail <br /> Equipment: sailer Bauer <br /> Pressure Bailer <br /> Eton Grab Sample <br /> Grundfos Other <br /> Other0 <br /> Starting Time: ;o s Weather Conditions: —►�' �-• <br /> Samp{inp Time: Z Z� Water Color. ��~ Odor <br /> se <br /> Purging Flow Elate: 3 pm. Sediment Description: <br /> Did well de r7 -if yes-, Time: <br /> Volume:...., - i� <br /> CMUM D.O. ORP � <br /> Time Valwwe PH Tarp (m8►L) (mom (PPa') <br /> LABORATORY INFORMATION <br /> SAMPLE ID in - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> v�-- n VVA VIA&— s4c a SEc�WD/ 4C.1 IWTA� <br /> COMMENTS: <br />