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—WELL SAMPLING FIELD DATA SHEET <br /> SAMPLER �/ G�jl'J.P� - '' <br /> DATE v �0 -15 <br /> ADDRE55 atlrJOB # u�1�. ��✓ <br /> CITY L5 rc." , zC✓r c1� SS# eT 6 <br /> Well ID IOU)— I Well Condition KZ G <br /> Well Location Description 5O-lrt v- to r " )/ <br /> r! <br /> Well Diameter in Hydrocarbon Thickness <br /> w es- <br /> Total Depth �j• <br /> �p�7!f ft Volume 2" = 0.'E 7 6' = i 50 12" Sao <br /> Ll <br /> Depth to Liquid r�+ ft Factor 3' = 0 38 <br /> / (VF) 4" = 0 66 <br /> # of casing r f 7(� x (J ? J x(-V9 _LC, #Estimated gal. <br /> Volume ' f <br /> purge <br /> Volume , <br /> Purge Equipment !'`��� Sampling Equipment A G.1 N <br /> Did well dewater �G If yes, Time Volume <br />*Starting Time Purging 9 9 Flow Rate <br /> Sampling Time CJ <br /> Time pH Conductivity Temperature Volume <br /> Iq <br /> 3 :2 ,( <br /> Weather Conditions h <br /> Water Color L' ✓ Odor <br /> Sediment Description A 1)-t <br /> LABORATORY INFORMATION <br /> Sample 10 Container Refrig Preservative Type Lab Analysis <br /> Comments <br /> ' IJGI�Cl�' y✓' l �C 1i7 ` c'S, G <br />