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GETTLER - RYAN INC . WELL SAMPLING <br /> General and Environmental Contractors FIELD DATA SHEET <br /> COMPANY w JOB # <br /> r C, DATE <br /> LOCATION <br /> CITY � � TIME <br /> t <br /> Well ID " f Well Condition <br /> 4F 4 <br /> Well Diameter <br /> Hydrocarbon Thickness r-- - - <br /> volume 2" = 0 17 8" = 1 50 12' = 5 80 <br /> Total Depth 72 - Factor 3 = 0.38 8" = 2 60 <br /> 520 (VF) 4 = 066 10 = a 10 <br /> Depth to Liquid— st.�mate y <br /> of x(VF) 0• /7 Purge /'�' gal <br /> x a Volume <br /> (Colallumesings! <br /> Purging Equipment <br /> Sampling Equipment I <br /> 00 <br /> f <br /> Starting-Time ! � � _- Purging.Flow Rate <br /> ' <br /> , (Ant mpated <br /> FlPTimeg <br /> gpM <br /> min. <br /> (stimate ang <br /> Purge <br /> Volume <br /> Rate <br /> Time pH Conductivity Temperature Volume <br /> � 1 <br /> l jog � � � ��� � • <br /> z- _ a. o <br /> • - -.2C;-g-,ry <br /> 7, 03 <br /> 12 3 6 a <br /> • Did well dexater9 Q If yes, time Volume <br /> Sampling Time Weather Conditions <br /> Bottles Used <br /> Analysis <br /> •� Chain of Custody Number <br /> Co10AEMs <br /> • ASSSSiA[3'C <br /> FORMLA4 <br />