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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> .Jobs t? 1 <br /> Facility <br /> 1 1 q y : <br /> Address: <br /> 1 (o S 0o S� 1 }Q r t �e S. Date: �- 2 f�-a c� <br /> City: �— 4' Sampler: "5c e <br /> Well 10 AW- 12 Well Condition_ 0 <br /> Well Diameter Z l-iydrocarbon Amount Baled <br /> Tludcness- (Oroducttwelerl: <br /> Total Depth vdw-m T=0.17 9'—038 <br /> r =Otho <br /> Depth to Water •; <br /> S• r X VF -0 '7 z!—O-- X 3 Aessa vokev"' — Estimated Purge Voharrse: _ fnwl 1 <br /> Purge ispasab Sanvfing <br /> Equipment: Saler Equipnwni-- D- osable <br /> Stack Bailer <br /> Suction ' <br /> Pressure Saler <br /> Grundfas -Grab Sample <br /> Other: Other- <br /> Starting Time- <br /> r.Weastier Condlaians: <br /> SarrmpGng Time: <br /> w+' Water[0101: n led-, Odor—ba-aid a� <br /> Purging Plow Rate: <br /> Sediment 0 A" -" <br /> Did well de-water? if Yes: Tune: Volume:'— <br /> D-0. <br /> olume:DO. ORP ty <br /> Txme P (mg/i.) (1?Pm) <br /> tom-) (mV) <br /> del I �-- <br /> Z f°•( - - 9� ; <br /> LABORATORY INFORMATION <br /> SAMPLE ID (2)- GQNTA*9R REPRIG- PRESERV_TYPE LABORATORY ANALYSES <br /> IM W-, V 3 YaA <br /> l}CL • i0. TPNG,BTEx,twreG <br /> L)2Yol� ,► I� �� d X 's S 8Z6o <br /> � i C.OMM9�1T5: <br />