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rWELL SAMPLING FIELD DATA SHEET <br /> SAMPLER , <br /> =1 G�l�'I.F� DATE <br /> ADDRESS (r9� aG11G ltd. JOB # <br /> CITYZC✓r C'4 SS# <br /> Well ID — 3 Well Condition �L ` <br /> Well Location Descriptiony�x� N � ' ICr� 6 <br /> G r <br /> Well Diameter �� in Hydrocarbon Thickness tilt) <br /> Total Depth 6'5"s,�}- ft Volume 2" = 0 17 6' 1 50 12' = s 80 <br /> Depth to Liquid -_( + ' C/ <br /> +-3 ft Factor 3" - 038 <br /> ;22-, 7 ` (VF) 4" — 0 66 <br /> # of casingJ x �(,� x(VF) #Estimated <br /> gal. <br /> Volume tpurge <br /> // , ' Volume <br /> Purge Equipment �r�� S Sampling Equipment ✓ ="` '�"" <br /> Did well dewater A ,�r� � If yes, Time Volume - <br /> tartin Time V ,�� Purging Flow Rate - <br /> 9 gpm <br /> Sampling Time <br /> j <br /> Time� jpHU Conductivity Temperature Volume <br /> e-j /Y' „ <br /> X07 -2 Z.- -72- <br /> Weather <br /> LWeather Conditions �r� ��,► i r✓� '� <br /> Water Color. _ ( �G� Odor <br /> Sediment Description <br /> LABORATORY INFORMATION <br /> Sample 1D container Refng ' Preservative Type Cab / Analysis <br /> Comments <br /> _, L !r Vr V, <br /> - r� Ly <br />