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f <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client! fob#: <br /> Facility4IP tin I 111 <br /> Address: <br /> W3 3 - - - — - Date: <br /> city: �SN(=CK -jr� <br /> [`� Sampler: �A r-3tiT <br /> i At,1 r <br /> Well ID I`' Well Condition: d K <br /> Well Diameter - oZ Hydrocarbon Amount Balled✓ Y <br /> Thickness' w duct/wstwi: - <br /> Total Depth EFactx <br /> Y - 0.17 3"-0.58 4` —0.66 <br /> f 6'- 1-50 1r �5.80 <br /> Depth to Water 3 2- 7 . <br /> 3 5,3y X ,. X 3 Ic.- ) - E-dfn8ted Fur"Volume: .'" <br /> purge Disposable Bailer Sampav <br /> Equipment: Bailer Equipment: (Disposable Bailer) <br /> - Bailer, - <br /> (Stack) Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos s - - Other. <br /> Other. <br /> Starting Time: <br /> wi Weather Conditions: •5 ut N o Y <br /> Sampling Time:_ <br /> Water Color: C L rL Odor. <br /> Purging Flow Rete:�� � Sediment be- <br /> . <br /> --if yes:- Time:- Volumed __- <br /> Did wellV.0. A4,11calivAty <br /> de=wafer? -==--1►1D- W <br /> CondtY <br /> : 521 -x . o <br /> ao �o•a �� Ca3. � <br /> _LABORATORY INFORMATION <br /> SAMPLE In l+►i - CONTAINER REMa. PRESEIV.TYPE LABORATORY _ ANALYSES <br /> MW- S VOAV I AL Y SEQUOIA TP<♦lalAmexhatbe <br /> COMMENTS: <br />