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• �� ....... 3quq nce........... <br /> AffOW <br /> AOL <br /> WELL SA-N4PLING <br /> dS <br /> Protect Lazne and Address Date of samph <br /> Iob # � ?_0 Sampled by inches). _ --�---- <br /> Well Name Well diameter <br /> Total depth of .ue11 (deet). lin (feet). <br /> water before camp g � f <br /> Depth to oduct If any' 1 <br /> Thickness of floating Prf <br /> Depth of weleet). 2 <br /> l in <br /> casing water { volume (g <br /> Number of gallalorz )" <br /> per well c <br /> ons p casing <br /> well casing volumes to be reric�vbe re sampling (g „ <br /> Number o roundwater to be purged ; <br /> cl'd volume of g ell• <br /> Re ant used to purge the Tink' �vacu'4t Vin <br /> t$ <br /> o r . <br /> V,vacuAtlou' Began- <br /> Time e of groundw4er purgge �k Maof, <br /> AP]P1Qx,l V�?l1]11 f TV'll 1'Fr <br /> Dld 'the well go dry collected � w t <br /> 'id snpls *were, f sampllg= <br /> b.0 -to; watef at tzm <br /> e of s mplitig <br /> pe�.o�bt ;�c�o'VerY <br /> at <br /> collected with- odor• <br /> 5ampl�s - �s <br /> Sample p� ,e <br /> mple Color• �' ------� <br /> Description of sediment in sample. <br /> CHEM-IC kL DATA <br /> Vimed <br /> uc f1 <br /> AMpL +S c-+oLLui CTE+D Ice d? n a! s <br /> t e c nt Ener re <br /> le # of <br /> c' <br /> v <br /> /YZ� ---- ---- --- —_ <br /> Iffcrrnc <br /> 94526 A 925-820-9,391 � rcax 92b 937-4863-�nQ W 0 Psn#ado, Qcsnville, Cr J -- <br />