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a <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility _ Job#: <br /> Address: 16 9' G r �� 4� -_ Date: S/ /0 l �. <br /> City: s' s= .� Q,_ Sampler: V - "A <br /> Well ID — x C Well Condition: <br /> Well Diameter ZIn Hydrocarbon Amount Bailed <br /> Total Depth �� tr_ <br /> _ Thickness: � ' [��i^- IProductlwetar]; <br /> �� <br /> ffF,=m <br /> 3' -0.17 3' + 038 4" 0.66 <br /> Depth to Water n- <br /> 6" 1.50 IV - 5.80 <br /> Z`f � 2- <br /> �, iy s <br /> X VF � , I� X 3 leans volume) w Esomatsd Purge Volume: r ' .9 <br /> PLWUO Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: 'Losable Bailers <br /> Bailer <br /> Sucton Pressure Bailer <br /> Grundfas Grab Sample <br /> Other: Other. <br /> Starting Time: d9 q(:.— Weather Conditions: _- <br /> Sampling Time; (4) z' I� �) Water Color: .. , r./1 a=i - Odor. - <br /> Purging Flow Rate: GPM Sediment Description: <br /> Did well de-water? >' If yes; Time: Volume: <br /> Time Volume pH Conductivity Ttmpesab= D.O. ORP <br /> cso<.y ,�.a� f 4.101L) imvl ) j <br /> LABORATORY INFORMATION i <br /> SAMPLE 10 lei - CONTAINER REFii1G. PRESERV.TYPE LABORATORY ANALYSES <br /> f?W- 1f: x Von 4),q 1.- Y Nc.c. ua, jfwrag <br /> COMMENTS: <br />