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i <br /> _W//ELL SAMPLING FIELD DATA SHEET _ <br /> SAMPLER �J Ci4/V.� DATE <br /> ADDRESS (P�. ac' IG 4e, JOB # <br /> CITY CC�,C ZC✓7 C_4 SS# 67- 1 / <br /> Weil lD MW W r4�' Well Condition <br /> Well Location Description +l i V v yy2 Pv LG-t .50u4 <br /> Well Diameter in Hydrocarbon Thickness <br /> Total Depth D Jft volume z` = 0 17 6" = 1 50 12" 580 <br /> Depth to Liquid �yfj, t j ft Factor 3" = 038 <br /> (VF) a' = 0 66 <br /> # of casing v x O1 j x(VF) 3, 7 #Estimated i gal. <br /> Volume 'purge <br /> tVolume <br /> Purge Equipment �' `' Sampling Equipment Z' <br /> Did well dewater If yes, Time Volume <br /> Starting Time `3 I Purging Flow Rate ( ! T g0m. <br /> Sampling Time <br /> Time pH Conductivity Temperature Volume <br /> q"14 - 7+ Cp7 p 73, 2� 3r <br /> Weather Conditions Ir ✓ <br /> Water Color Odor. /� ✓ <br /> Sediment Descriptions+�� <br /> LABORATORY INFORMATION <br /> Sample Eo Container Refr+g Preservative Type Lab Analysis <br /> f 3 X YGw. <br /> VM YlK C- c � • w (�ws r <br /> . Comments � �V_ <br /> f <br />