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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> t.,', Job_ : 1 Y . 1 7 5 <br /> s aciliiy 1 ! I °I <br /> Address: <br /> �� . Qr E Date: <br /> _ " <br /> Ciry: <br /> a i Sampler: <br /> i <br /> Well ID VKW~ Well Condition: 0 . <br /> Well Diameter � Hydrocarbon /��/� Amount Bailed <br /> Thickness: <br /> Total Depth 31 1)"_ <br /> a * Volum 2'=0.17 3'=0.38 47 -0-66 <br /> cncnr(VX) 6'= 1S0 L'=5-SO <br /> Depth to Water � <br /> _jL-4L X VF ' <br /> Xs (ossa wlumel = Estimated Purge Volume: ' S <br /> Purge Disposable Bailer Samprng <br /> Equipment: Bailer Equipment: jDiMs;p7osabileBl <br /> Stack r <br /> u� Pressure Bailer <br /> rundfos -Grab Sample <br /> Other Other: <br /> IStarting Time: :s Weather Candrbons. <br /> Sampling Time: E '!�� "" Water Calor_ C Odor <br /> Purging Flow Rate: Sediment Description: ✓I n e — <br /> Did well de-water? if yes-, Time: Volume: <br /> Time volu=ne PH Coz�u�ivity_��Ta �tuxe D.O. ORP Alkalinity <br /> (92-) amltosJan -� (m»'l) (mv) (PP-) <br /> i �tn3 ,, f• '7- 4 �,— o,7 -�7� <br /> LABORATORY INFORMATION <br /> SAMPLE ID (0)- CONTAINER REFRIG. PRESERV_TYPE LABORATORY ANALYSES <br /> MW.- 3 Y�nA Y 1}CL- S 410;0. ��aG,STEx,MTss <br /> COMMENTS: <br />