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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility N I ,lob;: D t <br /> Address_ i�'�Pr Date: _ SF—S` oa <br /> OTY: Q Sampler: Z" <br /> Well 1D W Lav: Well Condition: 0 . <br /> Well Diameter Z Hydrocarbon � Amount Bailed <br /> Thickness: r- Wroducdweterl= <br /> Total Depth — 14 O '' volu.-rx 3-=o_i7 3- =038 -V G 0_66 <br /> nccr(VFj 6' = 1S0 12- =5-SO to Water �'' `� *' <br /> ` [ X VF I' X 3 (rose mum°! = EsDmated Purge Vdume: <br /> Purge Disposable Baiier- Sampling <br /> ui sposable Baif <br /> Stack Bai er <br /> Equipment: Sailer mens: Di <br /> P <br /> Suction Pressure Sailer <br /> Grundfos Grab Sample <br /> Other. Other- <br /> Starting Time- Weather Conditions: C lea 0, <br /> Sampling Time: IrA o `Nater Color. C te ex Odor- LA -A <br /> Purging Plow Rate- b• Sediment Description: +Aa*4 .p — <br /> Did well de-water7 if yes; Time: Volume: !� <br /> Time volume PH ConductivityT Muss D.O. ORP Alkalinity <br /> (82L) �nx,hoslann'11�C f Ong/L) (-V) (PP-) <br /> 66 <br /> LABORATORY 1NFORMAmN <br /> SAMPLE IU (0)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> MW_ 3 V*A Y 1{C L S .10 ick 7�aG,fSTCx,MT6iz <br /> A- <br /> COMMEN TSS: <br />