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G E TT L E R - RYAN INC . WELL SAMPLING <br /> General and Environmental Contractors FIELD DATA SHEET <br /> COMPANY �iY�'�1 y�� 71 JOB # <br /> LOCATION CP DATE <br /> �y-yam <br /> CITY G 6-�7CLI) TIME <br /> Well ID d��G� Well Condition O�c` ` <br /> Well Diameter in, Hydrocarbon Thickness <br /> Total Depth 1�'J ft. Volume 2" = 0 17 6" = 1 50 12" = 5 80 <br /> 7 Factor 3" = 0.38 S" = 2 60 <br /> Depth to Liquid— 1 ! (VF) 4' = 0 66 10" = 4 10 <br /> ( cis ng 3 x 41 -- x(VF) �} I7 =(stir mate) <br /> 211 r,, Z gal. <br /> volumeVolume <br /> Purging Equipment <br /> Sampling Equipment 1 S U5u c`3 12 Gt ✓ <br /> Warting Time Purging Flow Rate gpm <br /> stimateurging — Anticipated\\ <br /> Purge gal.__ Flow gpm. — Purging J min <br /> Voiume 111 Rate ` Time <br /> Time pH Conductivity Temperature Volume <br /> iooz 6 . 5'7 -1 ?o �t2 <br /> 1044 6 73 _ 1 -z?szr7 <br /> Jo 0( - , B 9 3�i a _. X10 <br /> 1010 C0 90 3 1 '0C2 10 <br /> Did well dewater? A/0 If yes, time Volume <br /> Sampling Time �� Weather Conditions <br /> � /� <br /> Analysis _._ .�:1.,5 /J ?��� _--- --- _ -- Bottles Used � )( <br /> hain of Custody Number <br /> COMMExT5 _ u�1 GLS{'! �1- i^'1 id,V16 <br /> FORF]tAN ASSISTANT <br />