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i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # t �� Jobb`: _._ b-o S <br /> Address: 5— P e- r �-. Daae: gl r�(©L_ <br /> City: = 'Q Sampler: Vaa,:L&z <br /> Well ID Well Condition: eD AL <br /> Well Diameter 2 Hydrocarbon Amount Bailed - <br /> Thickness: 1producVweler): <br /> Total Depth 5, - <br /> Volume 2" - o.17 s• - 038 Ir- 0.66 <br /> Depth to Water <br /> (VF) W- 150 W- s.eo <br /> X VF '_-rj_�... �' (_-X 3 (case volume) m Estimated Purge Volurna: <br /> Ptxge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: r Disposable Balr <br /> CClh <br /> it'on Pressure Bailer <br /> Grund#os Grab Sample <br /> Other: Other: <br /> • <br /> Start;ng Tme: - f s-- Weather Conditions: <br /> Sampling Trm: 064-111) Water Color: — .I Odom, ..Purging Flow Rate: .. GPM. P <br /> E. • Sedimern Descri tion: <br /> Did well de-wate�7�� �� --If yes:=-Tuna:= Volume: Inw <br /> Tame Volume PH Cas►ducttv4ry Tunperasrue -n.Q__: -oRP <br /> (8�-) � mhos c= OF (m8f-) (mV) (PPM) ---- <br /> LABORATORY INFORMATION <br /> SAMPLE ED if)- CONTAINER REFRIG. PRESERV,TYPE LABORATORY ANALYSES <br /> rc V aq yr a L_ L4 C, A r r0 <br /> COMMENTS: <br /> aA7fi.W.lrw <br />