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.�. scence <br /> AW <br /> IMCM <br /> tr <br /> WELL }SAMPLING FIELD La <br /> Project Name and Address ------ <br /> Job # Date osampling- <br /> we'll <br /> as mpling <br /> Well Name (11 -�� 4 — Sampled by <br /> Total depth of well (feet) U -- Well diameter (inches) <br /> Depth to water before sampling (feet)- <br /> Thickness of floating product if any: <br /> Depth of well casing to water (feet)- <br /> gumber of gallons per well casing volurne (gallons) <br /> Number of well casing volumes to be removed w <br /> Rteq'd volume of groundwater to be purged before sampling (gallons) -G <br /> Equipment used to purge the well-_ � ___vE�1l_.� �,_,__�___ _ <br /> 'rime Evacuation Began Time Evacuation Finished —may /s <br /> Approximate volume of groundwater purged- -- , Z- <br /> - -- - -- ___� <br /> Did the well go dry? After how many gallons -� <br /> lime samples were collected _ _-'_C <br /> Depth to water at time of sampling <br /> Percent recovery at time of sampling <br /> Samples collected lvicYt <br /> Sample color �------ Odor <br /> Dcscriptjon of sediment to sample <br /> CHEMICAL D-XT '� <br /> 1 <br /> ----- ---_ <br /> SAMPLES COLLECTED <br /> 5amr-]-Izz It of cxroasnerS Volume ?z_tYce cont�sTrt r Pres Tccd <br />