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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 0201053060606 WELL ID <br /> CLIENT/STATION # ARCO/#2133 ADDRESS 2408 Ben Holt Dr Stockton <br /> DATE �1 <br /> CASING DIAMETER (inches) 23 4 45 5 5 8 12 Other <br /> (CIRCLE ONE) <br /> GALLONS/LINEAR FOOT 017 0 38 066 083 1 02 15 26 58 Other <br /> TD �%Cl OTW { G = 1 L� i X GALLONS= 1-7 X CASING = v �� CALCULATEO c C ACTUAL { y►.L <br /> WATER LINEAR FT I CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED Zi START (2400 Hr) �(' END (2400 Hr) ' <br /> DATE SAMPLED 7,1 t'4 START(2400 Hr) Lv END (2400 Hr) LLJ .tel] <br /> TIME Vf.}Lums p14 TEWSPATUlk COLOR v 4 I�I71� v <br /> f�//��YhY��©��rVsyylc��a� E <br /> rr -- tliJ ) or—PC sv <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL(l a FB-1, XDUP-1) <br /> � ct<. r} 4���•� �w.. k f o�wm a,..33 4. $.. � N r, #uf�l�tlk3'i,.. t 3 �';�e`� <br /> 2'8laddar Pump Baur(Telku+® 2 Bladder Pump Baler(Tefbn*) <br /> C u9m Pump Baur(PVC) DDL Sampler Bailor(Str kililo a Stae4 <br /> Submembia Pump Beier(Stainh a - -Dtppw Subms'bla PwW <br /> Staeq <br /> Vac Truck <br /> Dedlaated Baur Disposable Dedicated <br /> Other Other <br /> WATER COLUMN , X 80-80%RECHARGE`i l 4 (TO 80%RECHARGE. } SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) SIGNATURE <br /> REVIEWED BY DATE 3 'Z�z 9 __ <br /> PAGE OF <br />