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, [ f <br /> '`��' 'r r =� Site Addr ss.2,0 ',t7 r i- <br /> Si[e Number !� N�"G + <br /> L _ <br /> Crty <br /> Project No 7.p 7' <br /> Sampled B <br /> p y-c f L� - Project PM <br /> Site Contact Phone No <br /> YO <br /> Date Sampled <br /> Water Leve! Data Purge Volume Ca culaiions Well Purge Moihod Sample Record Field <br /> Tota! CasingIZno <br /> Actual DTW Data <br /> Depth to Top of Depth of Water Well Multiplier Water At <br /> Dissolved <br /> water Screen Well Column Diameter Value Volumes Purged No Sample Sample Sample Oxygen <br /> Well ID Time feet feet feet (A) (inches) (B) { <br /> gallons) gallons) Purge Bailer Pump Other Time I D Time (Mg/l) <br /> 5 .H ( 7- <br /> 71,6, 6 <br /> 07 Z 1 0 <br /> w 7 Def HI W.z9 <br /> w leiIV4da �v G <br /> Ila x d� dv <br /> w <br /> I <br /> 1 we 2 <br /> (A)Casing water Column J 9,1 Multiplier Values <br /> Depth wtr Depth to Bottom 2'=O 5 4"=2 0 6"=4 4 Page 1 of 2 <br /> I <br />