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t <br /> r <br /> _ 1VV� L SAMPLING FIELD DATA SPEE T <br /> j J <br /> SAMPLER —z— DATE L ��~/ <br /> ADDRESS J08 / <br /> CITY �C}C7� 7-l SS 1/ <br /> Well ID / �y�y C!' Well Condition <br /> Well Location Description <br /> Weil Diameter �. --' � in Hydrocarbon Thickness <br /> Total Depth ft Volume z" = a 17 s- = 1 so 12* 5 so <br /> L <br /> Depth to Liquid / ft Factor a" = o sa <br /> J 1 C (VF) 4" = O 66 <br /> rr of casing-3 x x ,e x{VF} t_ y <br /> j, u,�. �Estimated <br /> Volume <br /> I <br /> purge <br /> // Volume <br /> Purge Equipment .51t, Sampling Equipment x6a) ✓ <br /> Did well dewater /il(I if yes, Time Volume <br /> Starting Time Purging Flow Rate <br /> 9Rm <br /> Sampling Time <br /> Time pH Conductivity Temperature V I me <br /> - <br /> I <br /> Weather Conditions -56011f) 1�G7 G <br /> Water Color PG ,i Odor <br /> Sediment Description <br /> LABORATORY INFORMATION <br /> Sar—DIC to Container Refnq Preser,auva Typo Lab Analysis <br /> 1 s ! Z C2J CL 5'-f f <br /> "i lil7YGi <br /> / lX 500'm IAC/ 5� _rtu<s rc� <br /> Comments �l SC,nn all 4 <br /> _ 1 ` <br />