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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET ' J <br /> Client/ <br /> Facility # / stG o '� Job#: <br /> _ Address: �Gd� n � . Date: ' al <br /> City: <br /> g7b n C-4• Sampler: mal <br /> Well ID <br /> Z Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness' d' d� 1product/watod' <br /> Total Depth 0 Volume 2'-0.17 6' 130 3" 038 IV 5.80 't' OA6 <br /> Fam"(VF) <br /> Depth to Water Z 4-q'4 <br /> 6 X VF -L� "Z yy X 3 (care volume( - Esm <br /> timated Purge Volue: <br /> Purge Disposable Sailer Sampling <br /> Equipment: o ble Bain <br /> Equipment: Bailer Bailer <br /> <iaiaD Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other. <br /> Other. <br /> Starting Time: <br /> D; p e7 Weather Conditions: ���`� <br /> 224) <br /> Sampling Time: !� =L Water Color: Odor- <br /> Purging Flow Rate: Sediment Description: <br /> Volume: <br /> Did well de-water? _ luauIf yes' Tom' <br /> D.O. ORP AUmllydty <br /> Time Volume PH � Tempamtute (mom) (my) (PPM) <br /> (sem.) � � <br /> �a.� � � • � gay' 6 .y <br /> LABORATORY INFORMATION ANALYSES <br /> SAMPLE ID io)- CONTAINER REFRIG. FRESERV.TYPE. LABORATORY <br /> Pa- Z VVA VIAL ScQtlOi1� T44 r,C 181j.K J/4 TO + <br /> 6 O �t�►�- � Eflls' 26 0� <br /> COMMENTS: <br /> enaar.wM.r.o <br /> 4 <br />