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Dale: y!CJ <br /> GROUNDV< LEFT PURGE AND SAMPLE EOR( (cont.) <br /> PROJECT NAME: �Jl,l lr s�p; I _ WELL NUMBER: <br /> PROJECT NUMBER: <br /> PERSONNEL: <br /> SAMPLE DATA: <br /> TIME SAMPLED: L16 <br /> DEPTH SAMPLED(ft): <br /> SAMPLING EOUIPM NT: <br /> COMMENTS: <br /> . _SH[PPED UNDER ANALYSIS'..., <br /> VOLUME <br /> SAMPLE N6 OF_�.: COf!!lUNEA' FlELD;. <br /> SAFILLED TURDfIXTY COLOfi ::iUSIN OF CUSTODY <br /> TYPE PR[SERVATIYE FlLTFlATION ... AT 4'C(VIM <br /> (LGA <br /> .--' <br /> NO. '� CONTAINLRS � .... (m1 a II' '., ...... ..: <br /> c{U MLfd brow wzo <br /> mwg V,5 <br /> PURGE WATER DISPOSAL NOTES: <br /> TOTAL DISCHARGE(gal): <br /> DISPOSAL METHOD: <br /> DRUM DESIGNATION(S)/VOLUME: � <br /> COMMENTS:_ <br /> WELL BEAD CONDITIONS CHECKLIST(Circle YES or NO -if NO.add a ImmentS) YES NO <br /> WELL SECURITY DEVICES OK(BOLLARDS,CHRISTY <br /> 'LID S A NOr_•❑AND LOCK}.: <br /> INSIDE OF WELL HEAP A ' `OUTER CASING DRY <br /> WELL CASING OK?-.�'�E NO <br /> COMMENTS: <br /> GENERAL <br /> WEATHER CONDITIONS:_ o <br /> TEMPERATI IRE(specity,C!°F): <br /> URING PURGI �-- <br /> -PROBLEMS ENCOUNTERED DNG OR SN <br /> AMPLIG? a' <br /> COMMENTS: <br /> i <br /> .;.c, Project Manager <br /> Job File: <br /> 01her: <br />