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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 0201053060606 WELL ID <br /> CLIENTISTATION # ARCO/#2133 ADDRESS 2908 Ben Holt Dr Stockton <br /> DATE <br /> CASING DIAMETER (inches) 2 3 4 4 5 5 6 8 12 Other <br /> CIRCLE ONE1 �• <br /> GALLONS/LINEAR FOOT 017 38 066 083 1 02 Is 26 58 Other <br /> TC L UTW ��v� = LLQ X GALLONS.� X CASING = �.� CALCULATEQJ t Z ACTUA� <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> ` COLUMN �VDLUME <br /> DATE PURGED la START(2400 Nr) llA I LI N N ` END (2400 Hr) L�`��� <br /> t t <br /> DATE SAMPLED 2 START(2400 Hr) END (2400 Hr) M <br /> TIME -1VO LME Ph1 �I=lI� 13 Cm0A ' ', <br /> E <br /> ins <br /> Z <br /> l d <br /> Fi'� <br /> L s :j <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(t a FB-1, XDUP-1) <br /> t <br /> Y Bladder Pump Baler(TefkwA 2 Bladder Pump Bader(Telkin" <br /> Centntupal Pump Baur(PVC) DOL Sampler Bailor(Swanton Slseq <br /> Subawabte Pump Baser(StahMaaa Dow Submerarb(e Pump <br /> Steo <br /> Vac Truck <br /> Dedicated Bader OiaposabM LowIcatod <br /> Other mer- <br /> WATER <br /> therWATER COLUMN X BO 90%RECHARGE; 01 (TO BD%RECHARGE iv�} SAMPLE DEPTH 15 <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) SIGNATURE- <br /> REVIEW D 6Y _ DATE 2-qGU <br /> PAGE OF <br />