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AW PUCTscience0wineer <br /> wid- I -.F - I <br /> WELL SAMPLING FTLD L O C <br /> .y-- <br /> Project Name and Address }- �1 <br /> Job # `'`��-` ------Date of sampling- <br /> We'll <br /> ampling Well Name —I _ Sampled b —�---- <br /> Y <br /> Total depth of well (feet) -- Well diameter (inches) <br /> Depth to water before sampling (feet) S – <br /> Thickness of floating product if any <br /> Depth of well casing in water (feet) --`–~`�— <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 same ng (gallons) ~ <br /> Equipment used to purge the well <br /> Time Evacuation Began Time Evacuation Finished 1 SZ 5 <br /> Approximate volume of groundwater purged Z-_ <br /> Did the well go dryl `' After how many gallons <br /> Time samples were collected- _ 1 _� `C –�--- <br /> 0 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 sedimcnt in sample <br /> C11Fti11CAL DAFA <br /> Volume Purged CQndurtivity <br /> SAMPLES COLLECTED <br /> 5aof Lontainer, volume & type cont.11er Pres TCnP AnaIvsts <br />