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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ _ �� �� <br /> Facility Job#: <br /> Address:--241011'5121 Date: <br /> City: , �L, C-eq Sampler: <br /> Well ID Well Condition: Cf <br /> Well Diameter a r _ Hydrocarbon — Amount Bailed 1 , <br /> Thickness: {productlwater): pat <br /> Total Depth y� Voles 2"-0.17 3"w 038 w e= 0.66 <br /> �� 6"— 1-5012 =5.80 <br /> Depth to Water JG <br /> �] X VF f� �-- X 3 {csee volume} = Estimated Purge Volume: <br /> -}-►�nbl Sampling _Purge DisEquipment: osable Bailer <br /> Equipment: Bailer <br /> Stack Pressure Bailer <br /> Suction Grab Sample <br /> Grurldfos Other: <br /> Other•- ._ . <br /> Weather Conditions: <br /> Starting Time: 17G <br /> SampCmg Time: <br /> Water Color: v�*"'' Odor- <br /> Purging Flow Rate: Sediment Description: <br /> Did well de-water? N� if yes; Time: . Volume: _ b� <br /> Time Vca mteA Tun D.O. ORP Aumunhy <br /> P(PL) Amho0cm o (MVP (mom (Pl?m) <br /> i <br /> LABORATORY INFORMATION <br /> SAMPLE ID {sI- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> X vaq v,a�,. Y 4� e <> a s 7 <br /> COMMENTS: <br /> srn.au.�.nm <br />