Laserfiche WebLink
WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ Jobw: 1 c, 1 <br /> Facility +� <br /> Address: <br /> 1 (o s"�a m . y ,i to r Fe 5 Date: 2 1?-q <br /> Crty: Sampler: `Se <br /> Well 1D <br /> "LA) � Well Condition_ <br /> Z Hydrocarbon Amount Bailed <br /> Well Diameter <br /> Tlucicness: 1produc[lwaxed: <br /> Total 1d 3 * - olDepth '=owe 4" 0.66 <br /> sr� (VFj <br /> a = iso s_�=sso <br /> Depth to Water <' <br /> 21�E X VF �'+ r = X,3{case vokuml = Esiirna d Purge Vok--: <br /> Purge Disposable baler <br /> Equipment= disposable <br /> . Equipment: Bailer � $oiler <br /> 6 ler" <br /> Stack <br /> Pressure Baler <br /> -Grab Sample <br /> Giwidfos <br /> Other. <br /> Other. <br /> Weather Conditions: <br /> Starting Time: <br /> Sanpling Time: <br /> .,M Water Color: � I-P�-4_ <br /> purging Flaw Rate: <br /> Sedutierst Desaipdolu <br /> Did well de-water7 <br /> if yes; -rte Volume: <br /> rxcxiv;�y f �� D.O. ORP Alkdinity <br /> Time Sfolrsm`e P� �L <br /> LABORATORY INFORMATION <br /> pMWG. PFIESEAv_TYPE LABORATORY ANALYSES <br /> SAMPLE 10 131- CO[ffAvOR . <br /> WI -- 3r�n Y Tpiw,6-rev,rtzsG <br /> 2Yo1� <br /> i <br /> d'alYe <br /> COMMEIM: •t S 1' a�' <br /> CQ_ ;A <br />