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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client <br /> Ja <br /> Facility t�� 17 <br /> : 1 � O <br /> Address: - n S�• 1�� �� e Date: t 1- i 3 - o c) <br /> City: La-fW'g, e Sampler: _u. :Joe- <br /> Well <br /> e- <br /> f S <br /> Well ID - 2 Well Condition: � <br /> Well Diameter Z Hydrocarbon Amount Bailed <br /> Thickness: <br /> Total Depth 0.17 3'-038 =-0-66 <br /> Fico:(V-:) 6" = ISO LT =5-50 <br /> Depth to Water Y <br /> r d x VF Q.k = _b x s(eesa vcA m e) — Esvmacad Purge volume: '! C.1 A <br /> Purge Disposable fiaiier Sampling <br /> Equipment: Sailer Equipmea disposable <br /> Stack <br /> Pressure Baler <br /> Grundfos -Grab Sample <br /> Other_» Other: <br /> Starting Time: 2- Z Weaker Condition C I a v��j <br /> Sampling Time: 11 ,*A Nv Water Calor_ ir 12 Ic Odor <br /> Purging Row Rate: � Sed":men=Descdpuori -Mi"- <br /> Did well de-water? If yes, Time: <br /> Tssae VOiamC pH Co:taur_u ry I d-O Tc=p==n= D.O- OIC Allediriity <br /> ( � Aaahosk=y (I-II-) (-V) (PPS') <br /> 7= 27 _ �_ ��'_' <br /> LABORATORY INWRMATiON <br /> SAMPLE In tai- CONTAINER NERUG. PRESERV.TYPE LABORATORY ANALYSES <br /> %AAW y 3 VOA y qc l- JO ick -M&,t$TEV,VI TSS&/ <br /> i <br /> COMMENTS: <br />