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GETTLER - RYAN.• INC . WELL SAMPLING <br /> General and Environmental Contractors FIELD DATA SHEET <br /> COMPANY JOB # <br /> LOCATION DATE <br /> CITY TIME <br /> Well ID. Well Condition <br /> Well Diameter in, Hydrocarbon Thickness ft. <br /> Total Depth ft. Volume 2" = 0.17 6" = 1.50 12" = 5.80 <br /> Factor 3" = 0.38 8" = 2.60 <br /> Depth to Liquid— ft (V7) 4" = 0.66 10" = 4.10 <br /> H of l _ Estimate) <br /> casing /1 x x(VF) 1\ Purge gal. <br /> volumes Volume <br /> Purging Equipment <br /> Sampling Equipment <br /> Starting Time Purging Flow Rate gpm• <br /> /Estimate urging\) _ (/Anticipated <br /> Volume) mal. Rate / gpm — \ PTimeg ) min. <br /> Time pH Conductivity Temperature Volume <br /> Did well dewater? If yes, time Volume <br /> Sampling Time Weather Conditions <br /> Analysis Bottles Used <br /> Chain of Custody Number <br /> Cow[EFM <br /> FOREMAN ASSISTANT <br />