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7041, <br /> gNI, , ti r 'fir _ x ;tiro f• y��xr r <br /> Site Addres Site Number <br /> j&�4�.J <br /> Protect Manager Protect No <br /> Sampled BY—JI Protect P <br /> y� Date Sampled <br /> Site Contact Phone No <br /> Waler Level Data Purge Volume Calculations Well Purge Method Sample Record Field <br /> Total Casing Three Actual DTW Data <br /> Depth to Top of Depth of Water Well Multiplier Casing Water At 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) (gallons) (gallons) Purge Bailer Pump Other Time I D Time (mg/L) <br /> X30 cW•?G ' o t <br /> lr 2'4 /.ate , •*� � {, Z t + t <br /> 01- <br /> t <br /> .03 q �. olzl <br /> 4VWq gL? Z$ <br /> �t 016 i '-V 3 . a ''S -2 7 <br /> UCW-I G4 5a J; .t .G Y �? ► t3 �!► <br /> too <br /> (A)Casing water Column Multiplier Values <br /> Depth wtr Depth to Bottom 2"=0 5 4"=2 0 6"=4 4 Page 1 of 2 <br /> I <br />