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c7quq,5aE nce <br /> 0wincersinc <br /> WELL SAMPLING FIELD LOG <br /> %ob <br /> ame and Address QS <br /> 3 WO Date of sampling 5 G <br /> Well Nam �'!4l-S Sampled by <br /> Total depth f well (feet) Well diameter (inches) <br /> Depth to wat before sampling (feet): 13 D8 t1� 13.37 Mrd _ <br /> Thickness of fl ting product if any G.2q <br /> Depth of well ca g in water (feet) <br /> Number of _gallons er well casing volume (gallons) _ <br /> Number of «Tell cast Q volumes to be removed <br /> Req'd volume of group water to be purged before sampling (gallons) <br /> Equipment used to purg the well <br /> Time Evacuation Began Time Evacuation Finished <br /> Approximate volume of gr ndwater purged <br /> Did the well go dry?: After how many gallons. <br /> Time samples were collected <br /> • Depth to water at time of samp g• <br /> Percent recovery at time of samp g: <br /> Samples collected with. <br /> Sample color: - or <br /> Description of sediment in sample- <br /> CHEMICAL DATA <br /> Volume e �gm� pal c t v" <br /> tyc <br /> SAMPLES COLLECTED <br /> Sampf # of containers Volume 14c tvn��pntasner Pres Iced? <br /> S�yS <br /> 208 W FJ prn'odo Don✓rRe Cohfomro 9[576 • 92_582C�939 . F„Y 095R174853 <br />