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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> ent/ Z SG1� <br /> oillty # Z S Job#: <br /> !dress: Date.. <br /> �,, f/la�, Crs_ <br /> �* �' � Sampler: <br /> Well ID Well Condition: <br /> elf Diameter Hydrocarbon Amount Bailed <br /> _ Thickness: 4• �a ljj� (product/water): <br /> Ftal Depth S Valume r. 0.17 3'-038 <br /> Factor(V ) t Ir- 130 12' •�5.80 <br /> :peh to Water �� `+� <br /> Z�• 1 X VFa•r� ..�' X 3 Icsse volume) - Estimated Purge Volume: � r� <br /> *urge Disposable Bailer Sampling <br /> auipment: Bailer T _ Equiprnent: Disposable'Ball = <br /> Siac Bailer <br /> _ Suction Pressure Bailer y <br /> Grundfos Grab Sample <br /> Other. Other: <br /> tarbnp Time: /'-f S— f Weather Conditions: - <br /> viipain�Tree: .,...,t=qS- f//�b Od Water Color. _ - dxj2.e_— --Odor• - - - <br /> 3 Sediment _ <br />-urging Flow.Rate:_r�_ • _asp- .. - .. -.._ <br /> Ad well de-water? nAD If yes; Time: Volume: <br /> ,ram <br /> Time Volume PH Ccs T� b= (D.0 m� ty <br /> {gal.} to <br /> ZZ !_o b <br /> ... � Z- <br /> LABORATORY INFORMATION <br /> SAMPLE 10 19)- CONTAINER REFRIG. PfIESERV.TYPE LABORATORY ANALYSES <br /> HW— .3 x VvA VIAL— `� �4� 5&q�u©) A ►{ raro <br /> COMMENTS: <br />