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WELL1 SAMPLING FIELD DATA SHEET <br /> • SAMPLER DATE <br /> ADDRESS <br /> JOB # <br /> CITY SS# .�_C-*. 1,7�} <br /> Well ID L/ Well Condition G�c <br /> Well Location Description <br /> rf �— <br /> Well Diameter .�1 in Hydrocarbon Thickness <br /> Total Depth ( ft volume 2' = 0.17 ti' 1 SO 12' S so <br /> Depth to Liquid ft" Factor s- 0 38 <br /> #! of casing x %? - x(VF) r #Estimated gal <br /> VaIume t <br /> purge <br /> Volume <br /> Purge Equipment �7��Jc �r,n�ti { Sampling Equipment a, L�-- <br /> • Did well dewater - If yes, Time Volume <br /> Starting Time ' Purging Flow Rate gPm <br /> Sampling Time 2 3 C(4 <br /> Time pH Conductivity Temperature Volume <br /> V <br /> Weather Conditions 'C' v GG I <br /> Water Color Gt i/ Odor <br /> Sediment Description jil <br /> LABORATORY INFORMATION <br /> S/ample 1D Container Re1ng Preservative Type Lab Analysis <br /> Comments <br /> M <br />