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„r aqua science <br /> WIN ► -1 M' 7e g��eer� Inc= <br /> WELL SAMPLING FIELD LOG <br /> r - ---- <br /> Protect Name and Address <br /> Job # 3 4 g0 Date of sampl;ng <br />! Well Name P- Sampled by _ � <br /> Total depth of well (feet) Well diameter (inches) <br /> Depth to water before sampling (feet) <br /> Thickness of floating product if any -- -- ,� <br /> Depth of well casing in water (feet) <br /> Number of gall is pei well casing volume (gallons) <br /> _--___—� <br /> Number of well sing volumes to be removed _______� <br /> R(--q'd volume of g undwatei to be purged befoic sampling (gallons) <br /> Equipment used to p rge the well ---------—-- ---------------------- <br /> Time Evacuation Began _____ Time Evacuation Finished --------- <br /> Appioainiate volume of�gtoundwater purged --------------------------- <br /> Did the well go diy'? T— Aftez how many gallons —_____--- <br /> Time samples were collected------------------------------------------ <br /> Depth to water at time of sampling --_-----___�—__—_— <br /> Percent recovery at time of sa �ling —_ ----— <br /> Samples collected with — <br /> Sample <br /> ith —Sample colorli Odor <br /> Description of sediment in sample �.c , <br /> CHEMICAL DATA <br /> Volume Purged Temp Plitivity <br /> -------------- ------ ---- ---------------- <br /> -------------- ------ -- ----------- <br /> SAMPLES <br /> --_— -----SAMPLES COLLECTED <br /> Saninle # of containers V010111e & tyke_ container Pres Iced? \A - <br /> Annalysis <br /> ------ ---------- ----------------- --- ---- ------s-------------- <br /> —---- ---------- --------------- --- ---- ------------------- <br /> `----- ---------- ---__--_------- --- ---- ----------_._.___--- <br /> 941 1 nr+ r-r, , r'rrnvr)n Prr-irr z�-lt C�r7n Rn'mnn (-A 94583 . 510-820-939] • Fox 510-837-4853 <br />