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•""' ;�• •'� 1386BASTBEAMEsR <br /> STLKN viOODL4ND, CAIIFORNM 95695 <br /> GFsO-ENGINEERS (916)668-5300,FAX(916)662-0273 <br /> WELL SAMPLING DATA SHEET <br /> SITE j2- C, or DATE ITEME <br /> WELL ; ANiPLED BY.t,_J. <br /> WELL ELEVATION <br /> PRODUCT THICKNESS <br /> DEPTH TO WATER q7 sli s <br /> FLUID ELEVATION <br /> BAILER TYPE <br /> PUMP <br /> WELL PURGING RECORD <br /> TIME VOLUME TEMP. pH COND. <br /> REMOVED <br /> FINAL VOLUME PURGED 4 r <br /> TIME S AMPL-ED _ _> c_� <br /> SAMPLE <br /> SAMPLE CONTAINERS v�� r, ;t <br /> ANALYSIS TO BE RUN � <br /> LAB ORATORY <br /> NOTES: -r\ r <br /> � 1 <br /> ' �_ s t! <br />