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aqw7saLnce <br /> WELL <br />� SAMPLING FIELD L 4 G <br />' Pr ect Name and Address <br /> Job Date of sampling z <br />' Well ame it tv Sampled by <br /> Total d th of well (feet) Well diam_— <br /> eter (inches)- <br /> Depth to water before sampling (feet) <br /> Thickness o� floating product if any <br /> Depth of welhIcasing in water (feet) <br /> Number of galrons per well casing volume (gallons). _ _ <br />' Number of well case ,g volumes to be removed- <br /> Req'd volume � u ater to be purged before sampling (gallons) <br /> Equipment used to" u well _ <br />' Time Evacuation Began <br /> Time Evacuation Finished <br /> Approximate volume of groundwater urged <br /> Did the well o dry?. ��--"--"T'"T` <br />' gAfter how many <br /> Time samples were collected, gallons <br /> _ ` <br /> Depth to water at time of sampling-_= <br /> Percent recovery at time of sampling- — <br /> Samples collected with <br /> Sample color Odor <br />' Description of sediment in sample <br /> C'HEMICAL DATA <br />' Volume Purged- � Temp PH Conductivity <br /> SAMPLES COLLECTED <br /> Sample— # ofycontazners volume & type container Pres Iced? Anal sIs <br />' <br /> —————— <br /> ------------- ———————————————— <br /> ----- ---- ------------------_— <br /> ------ —————————— ————————————————— --- ———— ——————————————————— <br /> 208 W 0 Plntado, Donville, C[7l rt ,r,,-, , , `y :J-`>< < �� I)/ , u/ V/`J-' 74853 <br />