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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client! ,s <br /> Facility #-S= �2a `�,�` Jobb': _ <br /> Address: �'-�-� v Date: b • ��{• 01 <br /> City: <br /> Well ID Well Condition: {V- <br /> Welt Diameter Hydrocarbon Amount Bailed <br /> + 3� _ Thinckness: _ � Jp►oductivwater): <br /> Total Depth f- VCA, 2'- 0.17 s*a;036 046 <br /> Depth to water J o. -7 )L f.- I Factor <br /> () or— iso iz* 520 <br /> X Vr ..�y a. X 3 Jesse volume) - Esbmated Pure Vofurne: <br /> Purge (Disposable Bailer) Sompliro <br /> Equipment: Bailer Equipment: (Disposable Baiter <br /> Stock Vallor <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other. Other. <br /> Starting Time: �' - - - Weather Conditions: 5 L&0 IV Y <br />- ' <br /> Sampling Tmei =- 4=-Z= Water-Cofor.. _ Odor s �. <br /> 3- _ <br />- �-Purging Flow Rote:,- MIA - --....... Sediment <br /> Did well de-water? �3 D .� r ff yes: <br /> Time Volume pH Conductivity Tempetat uft- --v D.O. - <br /> (PL) `(.i Ao 4 F (ppm) <br /> 14: 0q q 94ij <br /> LABORATORY INFORMATION <br /> SAMPLE)D 10) - CONTAINER REFRiG. PRESERV-TYPE LABORATORY ANALYSES <br /> X VVA ytA" Y trt- M <br /> COMMENT <br />