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WELL MONITORING/SAMPLING <br /> CIS FIELD DATA SHEET <br /> Facility ST'S � ��,� - - Job#: - � �~ <br /> Address: Date: `/ala/ 2 -- <br /> City: -Sampler: r ddjr 4_ <br /> Well ID — 61�--_=r Well Condition: �—&—Id--- <br /> Well <br /> Well Diiameter Z Hydrocarbon Amount Bailed <br /> Thickness: _ ©' (Product/wstar); <br /> Total Depth <br /> Volume r 0.17 8'0.38 4' 0." <br /> Depth to Water Co d F&CUW( IV- 150 12•=SM <br /> l 4 Z X VF ,.•, } i X 3 (e4we volume) - Eebm:ated Purge Voiurtre: <br /> Purge Disposable Bailer Sampling <br /> EQLApment: Bailer Egtspment: Qispo ble Bailer <br /> Stack Ba e <br /> Pressure Beller <br /> Grundfos Grab Sample <br /> Other: Other. <br /> Starting Time; L Weather Conditions: <br /> Sarnplirtg Tune: `-- - 1 Z_,- - —- -- - —Water Calor: :. t --- Odor it <br /> Pu4ng Flow Rate: GPM Sediment Description: ~ <br /> Did well ds-water? YW If yes; Tame: Volume: <br /> Time Volume pH Co ndn d3vKy Ttmpee LW= D.O. ORP AUmUnW <br /> (PL) jawhaffAm f (XUWI) W ) (PPIM) <br /> 12 16 f5 I <br /> LABORATORY wowAmN <br /> SAMPLE IQ fir!- COWAINER FIEERIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 3264(n lays k it"ig IE <br /> -� n1'd of L. G ($"�F <br /> T <br /> COMMENTS: <br />