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�.,. aqua science <br /> zr� I Mmy " IM1W <br /> eggineers inc. <br /> WELL SAMPLING FIELD L p G <br /> Project Name and Address <br /> Job # t� ; _ Date of s mpling ' <br /> Well Name _ I - _ Sampled by <br /> Total depth of well (feet) ' 3 I--_ Well diameter~ <br /> Depth to water before sampling (feet) (Inches} – <br /> Thickness of floating product If any. – <br /> Depth of well casing In water (feet) J _ <br /> Number of gallons per well casing volume (gallons) <br /> Number of well casing volumes to be removed -- – <br /> Req'd volume of groundwater to be purged before s_am 1 nT—~---- <br /> Equipment used to purge the well �' p g (gallons) - <br /> Time Evacuation Began p cf� Time Evacuation Finished <br /> Approximate volume ofgroundwater purged __ 'Z ,_S – <br /> Did the weiI go drys ��' __ <br /> After how many gallons <br /> Time samples were collected- <br /> Depth <br /> ollected Depth to water at time of sampling —� �_— --` <br /> Percent recovery at time of sampling <br /> Samples collected with ----------- <br /> Sample color ---- � Odor _-- – -----—--___-- <br /> Description of sediment in sample <br /> CHEMICAL DATA <br /> V01,1Me ged PurTeruo C n tevtt <br /> ---- ---- J "� ,�� <br /> SAMPLES COLLECTED <br /> 5amnof c n(asnef Volume & type contat er Pres Iccd� f�na___.�,, Sis <br /> T <br />