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WELL M0NIT0RINGISAMPLING <br /> FIELD DATA SHEET <br /> ant/ <br />„ility #--IL n C-,q l„-tt zJob#: <br /> dress: /�66.�" �� ,` �. . Date: <br /> Y: <br /> S-� Sampler: <br /> Well ID Mw —— ! _ Well Condition: <br />,Il Diameter a- t+- Hydrocarbon Amount Bailed 4j <br /> Thickness: tJ. d Q i„- (productlwstar): '�"` <br /> tal Depth D e Volume 2"- 0.17 S"-038 4"•+ 046 <br /> pith to Water ,T-1.9& .n <br /> 31 7 'T7 X VF B �" $ X S (case volumes Esometed Purge Volume: r `Lluau <br />'urge Disposable Bailer Sampling <br /> uipment: Bailer Equipment: Disp s�Biler <br /> Stack Bao er <br /> Suction Pressure Bailer <br /> c3irU12Ebs-) Grab Sample <br /> Other: Other: <br /> arting Time; j 2 Y-`C– Weather Conditions: <br /> Impling Time: I,I(o (0'6/0') Water Color. Odors al., <br /> jrprng Flow Rate: Sediment Description: <br /> id well de-water? r- % if yes; Time: Volume: <br /> Time Volume pH condueth4ty Temperabm D.O. ORP Alkalinity <br /> (911L) M "rr (MIFL) (MV) (PPM) <br /> 6? 4� <br /> LABORATORY INFORMATION <br /> SAMPLE ID (f)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> Mr,✓ 1 x vaq v+aa�. mere. sr-,s�u01 A M ro <br /> F�rc � SZba <br />;OMMENTS: <br /> lA7.AdYe.hro <br />