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SAMPLER <br />ADDRESS <br />CITY <br />ce 0 <br />WELL SAMPLING FIELD DATA SHEET C <br />DATE <br />��3 G(J lf� �7n22 JOB <br />Well ID %l/L `� Well Condition <br />Well Locaticn Description <br />Well Diameter In Hydrocarbon Thickness <br />Total Depth `q ft Volume 2' = O 17 6- = T 50 12' w 5 ao <br />Depth to Liquid ft Factor 3" = o as <br />(VF) a' = 0 66 <br />rt of Casing / dr O- X a x(VF)V <br />Volume _67- <br />NEstlmated gal. <br />_: <br />purge <br />Purge Equipment Sic-Lr, t�`J /� Volume <br />Sampling Equipment,0 1J <br />Did well dewater [/ if yes, Time Volume <br />Star zjng Time %_ Purging Flow Rate <br />gPm- <br />SampIing Timecj7 <br />Time <br />—_ LO_ <br />Weather Conditions <br />Water Color <br />Sedir-nent (Description <br />samole ID <br />Comments <br />Lr 4 h <br />Conductivity <br />&"& <br />3 <br />_/1? 3 r <br />G� ✓ <br />Temperature <br />23 2— <br />C) d a r Odor <br />Volume <br />3, l <br />5. 1 <br />LABORATORY INFORMATION <br />Container Refne Preservahvo "type Lab Analy,ls <br />rlGti� Uc� 1 GL / f �s/e &L 'V14 <br />