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• <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ ?c SGG <br /> acility # s, Job#: li6c 13 7- <br /> • Address: Z Y12 1 ►- Date: <br /> City• 'e Sampler: lam° ee-q <br /> • Well ID /t'lltil— Z Well Condition � '(-- <br /> Weil Diameter _ Z Hydrocarbon Amount Bailed <br /> L� �� Thickness _ (product/water) — rr"+ I <br /> Total Depth - - k Volume 2" = 0 17 3" = 0.38 4" =0 6c <br /> • Depth to Water _ S ft <br /> Faa°r o" = 150 12" = 5 SO <br /> 1 " �4 X VF U _ o <br /> X 3 lease vafumel Estsmatad Pur;,a Volume 7 r„p+ + <br /> PL.rge Disposable Baiter Sampling <br /> Equipment Bailer Equipment Dlspos�j <br /> • Stack gar+ <br /> � Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> 00 Starting Time Weather Conditions <br /> Sampling Time f Water Color <br /> Odor n <br /> Purging Flow Rate corn Sediment Description <br /> Did well de-water? ___ t—y If yes, Time Volume r <br /> CAI <br /> • Tune Volume pH Conductivicy Temp�ccratu= D O ORP Alkaluucy <br /> (Sal) KmhaS/an icy T'jr-'= (-g(L) (mV) (PPM) <br /> LABORATORY INFORMATION <br /> • SAMP,310 ($1 CONTAINER RECRIG PRESERV TYPE LABORATORY ANALYSES <br /> 3 vc 1 y A�-Cl s e cmc. 7-Ph'6 B7-&-Yh"]T8&- <br /> / / 2. 1!a H t r ••..� <br /> $Z50�6) Gx CL+w�i <br /> • <br /> COMMENTS <br /> 0 3197 rwb.1 I" <br />