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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) <br /> Facility I ,lob:: j t' <br /> Address: <br /> Su . .4 Le F Date: <br /> _ `' <br /> City: <br /> L a 441002 Sampler: �� f <br /> Well ID Well Condition: - - <br /> well Diameter Hydrocarbon !/'tel- Amount Bailed <br /> Thickness- `� (AradueTlweterl: <br /> Total Depth _ 3�' * Veluzmc :►'=0-17 3" =038 x' = 0_66 <br /> r�ca:(VF) 6' = 1S0 1?"=S.SO <br /> Depth to Water �' *- <br /> Z5'1 X VF <Z 7 X 3(case volume) = Esamated Purge Volume: 1 3 1 <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bail <br /> Stack Bas er <br /> __:!3U _ Pressure Bailer <br /> �-ZPr foS Gra), Sample <br /> Other: Other: j <br /> . 2 Weather Conditions. C i2�l - i �• j <br /> Starting Time: ��' --' <br /> Sampling Time: I A-`"r Water Color. C le a l Odor p &A e r <br /> Purging Flow date: Sediment Des=iption: +n <br /> A df <br /> Did well de-water? if yes; Time: Volume:_ 1ra1 <br /> Time volume PH cc, f�T�Zr„� D.O. ORP lkz_,ity <br /> (92L) vmhas/an `F �mFrR) (mV) (PP—) <br /> LABORATORY INFORMATION E <br /> SAMPLE IQ (0)- CONTAINER RE'FR1G. PR£SEAV.TYPE LABORATORY ANALYSES 4E <br /> yew 3V*A Y Se J00, 7fyit(s,BTeX,MTer <br /> 2J'�/Il” rI /r N V 1C Ij S �i �2Go <br /> f <br /> f <br /> I <br /> COMMENTS: <br /> i <br /> y <br /> f <br />