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q scten e <br /> ► 0" Sneer Ince <br /> WELL SAMPLING- FIELD LOG <br /> Pio ect Name and Addiess <br /> Job # 3 L-i G o Date of sampling ____9 12 ST O <br /> Well Name _—_ME-, - 13 — Sampled by ------------ i ___----- <br /> Total depth of well (feet) _ 19, O'— Well diametei (inches) --"__- <br /> Depth to water before sampling (feet) -__­L Y�--_--__ <br /> Thickness of floating pioduct if any <br /> --------------------------- <br /> Depth of \tell casing in water (feet) -------__- -Z -------__-___ _____ <br />' Number of Gallons pei we,11 casing volunlC (gallons) ---- <br /> IDZ ________ ___ <br /> Numbei of well casing volumes to be iemoved --------- <br /> Req'd volume of aioundwatei to be purged before sampling (gallons) �_&_ <br />' Equipment used to puige the well ----------- ------------- <br /> Time <br /> ___--------Time Evacuation Began __iy5t? Time Evacuation Finished _ 15 ,14 <br /> Appioximate volume of gioundwatei purged ------------- _____ <br /> r Did the well go diy? _—_- 0 _ Aftet how many gallons <br /> ---------- <br /> Time <br /> __—_____Time samples were collected -------------- S`p - ------------------- <br /> Depth <br /> ___ -__Depth to water at time, of sampling1 `5 ! _.___-_----__ <br /> Peicent lecovety at time of sampling __________ G� / _ _ <br /> ---------------- <br /> Samples collected with ---------__-r.ed - -L<,-,L,`-__------_-__ <br /> Sample color ---- \�r�vc�a Odor -___-fie �d�r ----------- <br /> Desciiption of sediment in sample ___________ -__---___- <br />' CHEMICAL DATA <br /> Volume Purged Temp — pH-- Conductivftk-- <br /> tip <br /> SAMPLES COLLECTED <br /> Sample # of containers Volume & type c ntainer Pres te j Analysis <br /> MO- 6� -- -­40 07zt-k-�&-— -_-A/ --------------- <br /> ------- ---------- ------------ <br /> ------ ----------- <br />'k <br /> Ino int rl 0-x-,4 n__ fL r^ f f, nick nuc a7r�n�n r n �s o� �oc� <br />