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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> I <br /> PROJECT NO 0201053060686 WELL ID <br /> CLIENT/STATION #{ ARCO/#2133 ADDRESS 2908 Ben Holt Dr Stockton <br /> DATE 2,1 <br /> CASING DIAMETER (Inches) 23 4 4 5 5 6 8 12 Other <br /> !CIRCLE ONE) <br /> GALLONS((/LINEAR FOOTL� 017 0 38 066 083 1 02 15 26 58 Other <br /> TO L1 OTW [� `_ Z\ZC-- X GAL - lig X CASING = Z t S CALCULATED Z-t5 ACTUAL <br /> WATER LINEAR FT I CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED START(2400 Hr) �T' END (2400 Hr) <br /> DATE SAMPLED L � START(2400 Hr) V�• END (2400 Hr) d,, 2-Zfl"y`' - <br /> 'AIME S15E.UME phi ICx N '€' 1,41'$JI't^ Ci}LQI <' f' <br /> 124*Hr) 190P ftllt s} (Itirbowdofw # xis "s xc <br /> tIn, 6d I 0 <br /> t <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a F13-1, XDUP-1) <br /> .ti `Ss " :,aF �•y a, r .w}a aaa{ Lfffr'r r dr4 <br /> � <br /> 2'8(adder Pump Bader(Telbn* 2 Bladder Pump Bader(TelbrAq <br /> C Pump Baur(PVC) DOL Sampler Bader(SlainWa abNo <br /> .brrsr�bin Pump - - Bayer(Stainlaae Dipper - - Subrnerarbla Pump - - <br /> Steal) <br /> Vac Truck <br /> Dedicated Bader UrapomMe Dedaated <br /> Other �/p /� p7i}�. <br /> WATER COLUMN 2 k�r X 80-60%RECHARGE LJO (TD W%REC1'iAR[3E A`(Zi } <br /> SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) (�(� SIGNATURE i <br /> REVIEWED BY DATE <br /> PAGE OF�a <br />