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••'' lJW BASFMAMER <br /> . Q60-.fsNQ�N6FsRS (916) W--530O.F"(31� <br /> WELL SAMPLING DATA SHEET <br /> SITE P z p DATE /Z • / • �7 TIl ! C, ' L. <br /> SAMPLED BY. 02 <br /> V <br /> El-EVAT N <br /> T THH TO WATER TW' �; ' �'' r : s7. o <br /> ELEVATION <br /> BAILER TYPE p�'sDoss�lr l3G1/ r _ <br /> PUMP r:. .� F\cTllow 2 Gr�A cli s . <br /> WELL PURGING•RECORD <br /> TIME VOLUME TEMP. pH COND. <br /> REMOVED <br /> - Z Z.S sr ; r �72- o <br /> 7- _ � 5 72 9z /s <br /> 2-: 31 s - sz G <br /> 2 : y 72. G <br /> Z z. 5 6 Jj <br /> . I <br /> FINAL VOLUME PURGED 3_S <br /> TIME SAMPLED 2 : SB <br /> .SAMPLE TD. za- / <br /> SAMPLE CONTAINERS 2 3 Logs <br /> ANALYSIS TO BE RUN <br /> LABORATORY 15111 <br /> NOTES; Y- r C~/cqroA <br /> d <br /> 'I <br /> f <br />