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C ) <br /> WELL SAMPLING MELD DATA SHEET <br /> SAMPLER / C/t 'T' DATE <br /> ADDRESS ll'� Grid �l �1 t�P-a7 �i JOB <br /> CITY SS## <br /> Well 0 �f �^ Well Condition <br /> Well Location Description <br /> Ej i <br /> Well Diameter !/ in Hydrocarbon Thickness <br /> Tota! Depth G1 ft Volume z- 0 » 6' = 1 so 12" 80 <br /> Depth to Liquid /6 s C ft Factor 3- 0 38 <br /> q (VF) 4* — a ss <br /> of casing3/", { �� x <55-1 Z x(VF) r) I#Estimated 1 gal <br /> Volume <br /> purge <br /> vyolume <br /> Purge Equipment Sampling Equipments <br /> Did well dewater /`�G if yes, Time Volume <br /> Starting Time Purging Flow Rate <br /> 9�m <br /> Sampling Time <br /> Time p— C t�=vitt' Temperature Volume <br /> 3 { a _ 2/, 3 z <br /> z- 3 <br /> Cf <br /> Weather Conditions A -I1 <br /> Water Color f v- Odor 'Ala <br /> Sediment Description �IGtiv <br /> LABORATORY INFORMATION <br /> sampie ID Container Ra(rtg Preservative Typo lab <br /> Analysis <br /> Comments <br />