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. .. - - amic? .science <br /> men ti-22-5 E= <br /> LING FIELD LO <br /> WELL �A��' G <br /> Project Name and Address ---�__� l t.r6, 1J <br /> Job # Date of sampling- <br /> Dell ;Name _f'�`1 w � -_--- Sampled by ---- •7 �� __�____ <br /> Total depth of well (feet) �Well diameter (inches) 2 _ <br /> Depth to water before sampling (feet), <br /> Thickness of floating product if any <br /> Depth of well casing in water (feet)- <br /> Vumber of gallons per well casing volume (gallons) , i . ,?--- –�__ <br /> Number of well casing volumes to be <br /> Zeq'd volume of groundwater to be purged fore sampling (gallons) <br /> Equtpmerlt used to purge the well---- <br /> Time Evacuation Began 1 'i �6 Time Evacuation y F7nished _a f" <br /> Approximate volume of gxoundwater purged- <br /> Dad the well go drys 1`l✓ After how many gallons � v— <br /> Tirrie samples were collected- <br /> Depth to water at tune of sampling: <br /> Percent recovery at time of sampling <br /> Samples collected with <br /> Sample color Odor <br /> lD�scriptjon of sediment in sample <br /> CHF:NMICAL D-k s � <br /> /nVlTiie �?C° C1 GELYlC <br /> SXvIPEES COLLECTED <br /> 5-Amole # of �,onfalner; es tcc' n l sus <br />