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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> ent/ � <br /> cility # � Job#:' <br /> Idress: <br /> !'tob.�' �- . Date: <br /> tY= <br /> s'-�, e�aE.< Sampler: <br /> Well ID !''il•✓ — I g Well Condition: <br /> all Diameter Hydrocarbon Amount Bailed <br /> C3 <br /> Thickness: . d tproduct/weterl: tool I <br /> tal Depth go.OG vcau= 2'- 0.17 3'-038 4'- 0.66 <br /> Fir� it- 150 12` - 5.80 <br /> :pth to Water <br /> • <br /> 7j I X VF —1O' X 3 (case volume) - Eadmated Purge Vohrrrte: 32"' tom t <br /> Purge Disposable Bailer Sampling <br /> auipment• Bailer Equipment: Disp sable Bailer <br /> Stack Bai of <br /> SuctionPressure Bailer <br /> Grab Sample <br /> Other: Other. <br /> farting Time: <br /> Weather Conditions: <br />=-ampiinp-T'ime:- <br /> _ _c'�o= _II i6 O) Water=Color:= Odor- + <br />!urging.Flow Rate: Sediment Description: <br /> }rd well de-water? if yes: Time: Volume: <br /> Time Volume PH ConductMW TCMPC=b= TTD.O.'T ORP <br /> AUmUnity <br /> (sUL) PrIAWSAM OF (M9Q (MV) (PPM) <br /> P zZ � S`z- � •s <br /> - <br /> LABORATORY INFORMATION <br /> SAMPLE ID lPl- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> x Von 1. 44 5 t te9) A -r M r4 <br /> %104%L- <br /> COMMENTS: <br />