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WELL SAMPLING FIELD DATA SHEET <br /> SAMPLER Gu cL Ie.(„ p e Sct_kc,(e DATE <br /> ADDRESS ) fj 3 U-' , 1 tk S r JOS # <br /> CITY c' SS# Q- t <br /> f GSA i <br /> f <br /> Well ID l�t k�- - '/ Well Condition <br /> Well Location Description <br /> Well Diameter to Hydrocarbon Thickness <br /> Ems' <br /> Total Depth O , Q ft Volume 2' = 0 17 6" _ ] 50 12' 5 So <br /> Depth to Liquid ft Factor 3' = 0 38 <br /> {VF} 4' = 0 66 <br /> # of casing l 31 x r '4- x(VF) j1 #Estimated gal <br /> Volume ;purge <br /> Volume <br /> Purge Equipment S+CLCA v Sampling Equipment <br /> Did well dewater NG If yes, Time Volume <br />. Starting Time /4 sr� Purging Flow Rate 'Z gPm <br /> Sampling Time to Y <br /> Time pH Conductivity Temperature Volum <br /> 110-0 Zo 74 <br /> Weather Conditions S v... •� <br /> Water Color f Odor <br /> Sediment Description v- a <br /> LABORATORY INFORMATION <br /> Sample ID Container €iefrip Preservative Type Lab Analysis <br /> r <br />. Comments <br />