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mr �� � e ce <br /> wl� TAm <br /> &zxzr.,A-'7' engineLsrs 117C. <br /> WELL SAMPLING FIELD L a G <br /> Project Name and Address <br /> Job # Date of sampling- <br /> Well Name _ d-� j - Sampled by <br /> Total depth of well (feet) �� —_ Well diameter (inches) — –� <br /> Depth to water before sampling (feet)- <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 /> keq'd volume of groundwater to be purged before sampling (gallons) y <br /> Equiprnent used to purge the wellTime Evacuation Began Time Evacuation Finished X7:27 <br /> Approximate volume of groundwater purged – <br /> Did the well go dry? '' ' After how many gallons <br /> Time samples were collected ---- <br /> Depth <br /> ollected _--_Depth to water at tirne of sampling _--�–_ ,— — -- <br /> Percent recovery at time of sampling-_ <br /> Sarnples collected with ------ ------�—�– <br /> Sample color �" ---� Odor <br /> Description of sediment in sample <br /> CHEMICAL DAT1 <br /> Vokime Pureed !�emn �H J Condo UVIL . <br /> SAMPLES COLLECTED <br /> $�mnleI of e n ainer; Volume type contatnar Pres Iced \naIvsis <br /> s <br />