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a <br /> aqw7science <br />' ® ozow <br /> ICEO cer I= <br /> � <br /> WELL SAMPLING FIELD LOG <br />' Project Name and Address -Os _ <br /> Job # Date of sampling. 2 b Q ~� <br />' Well Name its'- Sampled by – <br /> Total depth of well (feet) LS z, 7 Well diameter (inches) <br /> Depth to water before sampling (feet) <br />' hrckness of floating product if any – <br /> th of well casing in water (feet) <br /> Nu er of gallons per well casing volume (gallons)-____ �– <br />' Numb of well casing volumes to be removed _ -- <br /> Req'd v came, of groundwater to be purged before sampling (gallons) <br />' Equipment used to purge the well. — <br /> Time Evacuation egan-._,_ __ _ — Time Evacuation Finished <br /> Approxima e v of groundwater pugged <br /> Did the well g dry After how many gallons <br /> Time samples were ollc d __ _ <br /> Depth to water- at time of sampling: – <br /> Percent recovery at time of sampl <br /> Samples collected with _ �` –` <br /> Sample color or <br /> IDescription of sediment in sample _ _ -- --`-– <br /> CHEMICAL DATA <br /> Volume Purged Teen pI onau <br /> Gt <br /> SAMPLES COLLECTED <br /> Saamp-1 — <br /> # —of containers Volume & type container Pres Iced? Anaivsis <br /> ------- <br /> ------------ <br /> —————— ----------- ------------------ ——— ———— -------------------- — <br /> 208 W E1 Pntado, Donvilfe, Co,f,,., z <br /> -� 1-)-1,' -74853 <br />