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aquq <br /> Mr scxnce <br /> MW &w L"Wincei a <br /> WELL, SAMPLING FIELD LOO <br /> Project Name and Address <br /> Job # D <br /> � ----------- <br /> ate of sampling <br /> WeIl Name _fns ci- Sampled by ___ <br /> Total depth of well (feet) Well diameter <br /> Depth to water before sampling (feet) <br /> {triches) _- <br /> ) <br /> Thickness of floating product if any --- <br /> Depth of well casing to water (feet) --~-- <br /> Number of gallons per well casing volume (gallons) <br /> Number of well casing volumes to be removed <br /> Req'd volume of groundwater to be purged before aTimesam' )ling (gallons) -- - <br /> ��Equipment used to purge the well. C- <br /> Time Evacuation Be Z � � —`- - --- I <br /> g - - Time Evacuation Finished <br /> Approximate volume of groundwater purged <br /> Did the well go dryT u z? After how many gallons -�� <br /> Time samples were collected — <br /> • Depth to water at time of sampling <br /> Percent recovery at time of sampling —I -- <br /> Samples collected with ------- <br /> Sample color Odor <br /> Description of sediment in sam le <br /> � <br /> P <br /> CHEMICAL DATA <br /> Volume _ jiver# <br /> amp IL Coni cctvE� <br /> ---- ----------- <br /> --- CIG <br /> -- v-- ------ —4—_J -- ------------ C t ✓ <br /> SAMPLES COLLECTED <br /> Sam"I # at c tarn Volume & tyaq conta�n�.� Pres I cd� <br /> _� Analysiz <br />