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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> �ent/ <br /> clllty Job#: <br /> _ Date: <br /> Address: <br /> City: - <br /> SA Sampler: <br /> Well 10 Well Condition: v <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness (productlwated <br /> Total Depth s ` Z,L <br /> Volume 2"= 017 3" = 038 4 = 065 <br /> Factor(VF) 6" = 150 12"= 5 80 <br /> Depth to Water Z <br /> �f j3• <br /> Z X VF E' _ '"��X 3 (case volume} = Estimated Purge Valume <br /> Purge Disposable Bailer Sampling <br /> Equipment- Bader Equipment: Disposable Ba <br /> Stack Bai er <br /> Suction Pressure Bailer <br /> run Grab Sample <br /> Other Other <br /> etarting Time ea <br /> 2 Weather Conditions <br /> .. <br /> Water Color Odor <br /> Sampling Time <br /> Purging Flow Rate �• I orsm_ Sediment Description. <br /> Did well de-water? If yes, Time Volume <br /> Time Volume pH Conductivity Terttpemturc D O OAP Alkalmty <br /> } µmhas/cm}f/ ••¢F`0 (mg1L.) (MV) (PPR') <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> 1000MMENTS <br />