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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> �Clientl4- _�� _ <br /> Facility <br /> Address: ' H - Date: .� <br /> City: g Sampler: --Ana jy.�6 - <br /> Wets ID -- Well Condition: <br /> Well Diameter 2-- Hydrocarbon Amount Bared <br /> Thickness: ���� -� {product/water). <br /> Total Depth Z 2• <br /> Yolwne 1'•0.17 3'-038 <br /> Depth to Water 6 - Factor(M or- 130 12'-5.80 <br /> 1G� ' X VF X 3(cess vokatme) w Estimated Purge Vokam: <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bsiler Equipment; Disposable Bailer <br /> Staff 8a <br /> Su Pressure Bailer <br /> Grundfoa Grata Sample <br /> WWI Other. <br /> Startno Tim"; ;D S:^ Weather Conditions: <br /> Sampling Time: Z o Water Color: Odom -D-V <br /> taA,rolno Flow Rate: iGPM Sediment Description: <br /> Did well do-wat+er7 r if yea; Time: Volume:— Real] <br /> Time Volt PH Ca"Uc ►ity Tempevab +c D.O. ORP AlkdJidty <br /> (PL) Q WL) (XMA►) <br /> 16; 09 <br /> IAeowroRy INFORMATION <br /> SAMPLE ID CONTAINER REFRIG. PRESERV.TYK LABORATORY ANALYSES <br /> 5 X V VA V'AL- JOTO <br /> T <br /> COMMEM: <br />