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sAIMPLER <br />WELL SAMPLING FIELD DATA SHEET <br />fcliY <br />DATE <br />ADDRESS /0-3 Gv //-2:)- �-f <br />CITY �v,��i-cy G j� <br />Well 1D w— f) <br />Well Location Description <br />Well Diameter )1 in <br />Tota] Depth 2�=ft <br />Depth to Liquid , .5L-, ft <br />n of casing 3/ <br />Volume <br />x <br />Purge Equipment <br />} <br />e,1, IG <br />Did well dewater <br />Starting Time <br />.z 7 <br />Sampling Time <br />3 <br />Tim41ms <br />2� <br />3G <br />Weather Conditions <br />Water Color <br />Sediment Description <br />Samole iD <br />Well Condition <br />L0 <br />JOB <br />Hydrocarbon Thickness <br />Volume 2- = 0 17 <br />Factor a' = 0 38 <br />6- = 7 So 12' = 5 20 <br />(VF) 4' - 0 66 <br />x(VF) j #Esumated <br />t <br />Purge <br />�} % <br />Sampling Equipment'Y /9/� 'a Volume <br />u <br />If yes, Time <br />Purging Flow Hare <br />Conduc ivity <br />/Z 9 <br />Volume <br />Temperature <br />J <br />� gpm- <br />_Volurne <br />Cf <br />G{ ,n vti � C�{ Gr v L(j � ✓ wi <br />Odor <br />%IIc� <br />LABORATORY INFORMATION <br />0 Comments <br />