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�- :71/4 suence <br /> mr-M 1 =217 low <br /> .ar <br /> 4eH Hinzers Inc.* <br /> WELL SAMPLING FIELD L O G <br /> Protect Name and Address <br /> Job # Date of sarnpltng- <br /> Well Name _ Sampled by <br /> Total depth of well (feet)- t _—� 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 /> tilurnber of gallons per well casing volume (gallons) <br /> Nurnber of well casing volumes to be removed _, <br /> Pteq`d volume of groundwater to be purged before sampling (gallons) <br /> Equipment used to purge thee well- S�� <br /> Time Evacuation Began � � Time Evacuation Finished _ <br /> kpproximate volume of groundwater purged- –_`10 <br /> Dad the well go dry? N J After how many gallons <br /> Time samples were collected <br /> Depth to water at tirne of sampling_ <br /> Percent recovery at time of sampling <br /> Sarnple5 collected with <br /> Sample color—_ _v— Odor <br /> (Jescripraorn of sediment in sample <br /> CDENIICAL DAT-� <br /> JV2'1m.e PucazaLLULURki conducuva <br /> -73 <br /> jL <br /> SAMPLES COLLECTED <br /> Sample # of ion{airier; y1olume A type�_contai��c P u s lc cd 7 nal . s i s <br />