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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> :liens! �c7s <br /> Facility � � Z Job#: <br /> Date: <br /> � <br /> Address: _ � �� � �_ <br /> �{z��� Sampler: <br /> City: <br /> ll <br /> Well ID Mo- 12- Well Condition: - <br /> 2 n Hydrocarbon Amount Bailed <br /> Well Diameter <br /> Thickness, Ca. a (product/wstar)2 <br /> Total Depth Yo)ug= 2" 0.17 60- <br /> 130 3'- 038 12" 5.60 4" - 0.66 <br /> " - 8.66 <br /> Depth to Water <br /> Z a X VF 11-p` r X 3 (case Volume) = Eavmeted Purge Volume: gad! <br /> PurgeDisposable Bailer Sampling <br /> Bailer Equipment; i arable Bailer <br /> Equipment: _ Bailer <br /> = Stack _ Pressure Bailer 4 <br /> Suction Grab Sample <br /> Other.Grund o Dther. <br /> _ r, _ - _ • <br /> Starting AA <br /> Time: Weather Conditions: <br /> Sampling Time: <br /> I� '� LA <br /> %"-� Water Calor. ` dor-?AQ <br /> - - Purging Flaw Rata: — --Sediment-Description: <br /> If yes; Time: Volume: <br />-.�-- -Did.well de-water7— _� <br /> VolnisLe�� —Condud3vity-- -- TeMPcntuie- y D.O. ORP Alkalinity <br /> �) � - <br /> - - -T�-T--- - --_---pH_ _-� <br /> cm OF <br /> LABORATORY INFORMATION <br /> SAMPLE IQ (#) - CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> ��77 f 5Et?uOl A r m ro ` %% <br /> ��� /L S ?c VpQ r/113L. � r�C+4 <br /> COMMENTS: <br />