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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> # /o S�v � �11 q .fob#: <br /> Facility rI z <br /> /&SZsv �S"q ly _n Avu -s 1Q 4 Date: <br /> Address.. _ ' <br /> City: Sampler: <br /> Well 1D f) Well Condition: <br /> Well Diameter' Hydrocarbon Amount Bailed <br /> Thickness: in. 1productlwater): <br /> Total Depth / S t a Volume 2' 0.17 3's 038 47- 0.66 <br /> Depth to Water <br /> 9. Pam CM <br /> 150 12-w 5.80 <br /> X VF •f�1 _�' i,x 3 (case volume) - Estimated Purge Volurne: .3�{Osu <br /> Sampling <br /> Pwge ble Bair <br /> Equipment: Bailer Equipment: osa le Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: - <br /> Starting Time: !1 Weather Conditions: _ <br /> Sampling Time: Water Color: ,r» • Odor- <br /> Sediment Description: <br /> Purging Flow Rate: <br /> Did well de-water? If yes; Time: Volume: <br /> Tinge Volume PH Conducdvky Tempembne (mi.) (zaV) l;Y <br /> (gal-) 9mhor/m► '�. <br /> rim � -�-� _ '� �`® -- ��•� • <br /> LABORATORY INFORMATION <br /> SAMPLE ID (f) CONTAINER REFRIG. PRESERV.TYPE: LABORATORY ANALYSES <br /> �VIy;"•- x VDA .r,aL- 1� ►1c.4 SEQ`ig' r +� r+trD <br /> COMMENTS: <br /> i <br /> ` My�F.M.thm <br />