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WELL SAMPLING FIELD DATA SHEET <br /> SAMPLER , '/ Gl1l?�i DATE v ` 30 -1- <br /> ADDRESS I Tanh6 4lAe, JOB # <br /> CITY �� ZC✓r C�f SS# <br /> Well ID Well Condition <br /> Well Location Description �G� ��? tjy4olo-1"1%/ s <br /> Well Diameter /in Hydrocarbon Thickness <br /> Total Depth f _ ft volume z' = 0 17 6' 1 so 12' 520 <br /> Depth to squid _ `-/Zr3G ft Factor 3' = 0 38 <br /> rr� IvF1 a' = o ss <br /> fl of casing (!J3 x x(VF) V1 #Estimatedgal <br /> Volume <br /> Spurge <br /> � VolumePurge Equipment �`I r C Sampling Equipment <br /> Did well dewater N `� If yes, Time Volume <br /> Carting Time l l / Purging Flow Rate %i-�`' gpm. <br /> Sampling Time >' <br /> a Tm.c 7 p¢l� Co du ti ity Temperature LL , v lume <br /> 1 y1" <br /> 1 r, <br /> -Z _ ;Z� <br /> Weather Conditions le ct <br /> Water Color. L' Odor <br /> Sediment Description ��"�- <br /> LABORATORY INFORMATION <br /> 5ampla 10 Container Refng Preservative Type Lab Analysis <br /> 2 3)c f/Grw J VM hv-4— <br /> Comments / �� l/ <br /> ' F <br />