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q q ence <br /> QZ,&!q.4= 0819801Lers <br /> WELL SAMPLING FIELD LOG <br />' Project Name and Address ` /i - --�_ _ __— <br /> Job # � t GO Date of sampling - 12- <br /> Well <br /> ZWell Name W Sampled by ___ (T?7- <br />' Total depth of well (feet) (f4f, _ Well diametei (inches) 2 `� <br /> Depth to water before sampling (feet) __ —__ f`�. Z�r•__ __ _ <br /> Thickness of floating product if any <br /> Depth of well casing in water (feet) _. _ S <br /> Numbei of gallons per well casing volume (gallons) ___-_ <br />' Number of well casing volumes to be removed <br /> Req'd volume of gioundwatei to be pugged befoie sampling Uallons) <br /> Equipment used to puzge the well ----------JE� �, _ _� - <br />' Time Evacuation Began —�ab__ Time Evacuation Finished _ I Z v___ <br /> Apptoaimate volume of gioundwatei purged -- _-�4-� - -3 �"___ <br /> Did the well go dry? !Ua Aftei how many gallons ___- - <br /> Time samples were collected _-_I 1 Z ------_ <br /> ------------------------------- <br /> Depth to water at time of sampling __ ltl,Z 1( <br /> Peicent recovery at time of sampling ........ foo --- __ <br /> Samples collected with �� -�— -----_------ <br /> ample color Odoi A-)E tk., <br /> --------------------- ----- <br /> Desciiption of sedime t in <br /> SAMPLES COLLECTED <br /> Sample # of containers Volume & type container Pres ced'? Analysis <br /> - ---- -------------------- <br /> ------- ---------- <br /> 2411 Old Crow Canyon Road,Suite 4 San Ramon CA 94583 - 510-820-9391 - Fox 510-837-4853 <br />