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WELL MONITORING/SAMPLING <br /> MELD DATA SHEET <br /> �Clientlr�.. _ <br /> Facility <br /> Address: 2 Date: <br /> City: Sampler: L!Ud�e� <br /> Well ID Well Conditwn: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: _ - ;a. (Pfoduct/wetW: <br /> Total Depth Z Z- C3 <br /> volume 2' 0.17 W- 038 <br /> Depth to Water IL <br /> � ' 6" • i30 12' w 5.80 <br /> D <br /> 1 / X VF � � r�(3(cave volume) w Estimated Pune Vokam: <br /> Purge Disposable Bailer Sampiino <br /> Equipment: Bailer Equipment: Dispo�bfeB�eljer <br /> Sts Ba e <br /> Pressure Bailer <br /> Grundfos Grab Sample <br /> Other Other: <br /> Starting Time: Weather Conditions:- <br /> somprmo Tim - _ ��;a s - - Water Color: Odom_Y�,C <br /> Purging s=low Rate: Sediment Description: <br /> Did well de-water? hD if yes; Time: Volume: <br /> Time <br /> volume pHCducdvW Tcmpawre D.O. ORP Alkalin r <br /> (8&L) onexOF (MIOL) (IMV) ►) <br /> 3 <br /> LU ( 9 <br /> LABORATORY INFORMATION <br /> SAMPLE ID fs)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> {��•� S x VDD V+U. #4e- ScQUOiLI =a IAM): jolgF-117 <br /> IJal ' ` 1.2.b c oa ^^� <br /> T <br /> COM�rluf 1�7i <br />