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WELD SAMPLING FIELD DATA SHEET <br /> SAMPLER , �1 L��l�'l(� DATEy <br /> ADDRESS �� �Gr IG �P. JOB # {--�/l�, <br /> CITY ZC'f SS# <br /> Well ID /1/`w / Well Conyy!%on 0i <br /> �sGf/i _ <br /> Weil Location Description S_t rGryv� <br /> Well Diameter / in Hydrocarbon Thickness — <br /> Total Depth 93 ft Volume 2' = 0 17 S" = 1 SO l2' 580 <br /> Depth to Liquid �J�� ft Factor 3' - 0 38 <br /> �� ��`� � fVF} 4' = 0 66 <br /> # of casing x i x(VF) 5 ##Estimated _ S gal <br /> Volume ` <br /> purge <br /> ''IIre�, Volume <br /> Purge Equipment V �y ✓Ic GS Sampling Equipment C4 f 1'e <br /> Did well dewater If yes, Time Volume <br /> r <br /> Otarting Time 5 Purging Flow Rate 7( > 9pM <br /> Sampling Time ! [� <br /> Tjmq 7 L/ Cod r Temperature Volume <br /> Weather Conditions 1 L1►? '� / C <br /> Water Color l!,/.�� ✓ Odor <br /> Sediment Description /I/ <br /> LABORATORY INFORMATION <br /> sample ID Container Rerrig Preservative Type Lab Analysis <br /> A4W �- r✓ 3)c SIG+++ 1 Vol y I¢C L_ c •-w 6 ws l - <br /> Comments <br />