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52 <br /> WELL SAMPLE FIELD LOG <br />' Date: I2�13 �c�o Well No:_J 1n LJ - <br /> Job Name: 00111CI S u:SC1,,': Jab No: 0f>{'Z <br /> 1 Technician.-Ci a Weather: <br />' Well Casing Diameter: []2" ©4" []6" E]other: <br /> Well Head Protection: QOK Needs Following Repairs: <br />' DTGW i ' l_ Total Well Depth2'9•5Z- Free Product Thickness Well Under Pressure []Yes ©No <br /> Discoloration: _r1e�+ _ Odor; ,�.��,.?� Sediments in Well Water [—]Yes No <br />' Well Purge Equipment: j2:- L/PL- P0r�—p Purge Volume (gal): 30 <br /> Purge Water Disposition ��'L--- �Ic� `, �_,,.� Well Dewatered []Yes ZNo <br />' I Time� Volume al Temp ('C) Cond/. (Ps/cm) H ORORPmy <br /> L/^ 115'.19 <br /> I7_ •.a 'fZ I 6-e7 Y <br /> Zq jqj & .. S <br />' Water Sample Equipment: tv, Sample Time: 122-0 <br />' Sample Containers: F-11 Liter Amber Placed on lce: ]Yes QNo <br /> 0250 ml Chain of Custody: 0Yes ❑No <br />' ❑Unpreserved VOA's Laboratory: ❑KIFF TEG <br /> Z Preserved VOA's ❑Other: <br />' F-1 Plastic <br /> Comments: <br /> Technician Signature: <br />' Rev: 318/00 TM <br />