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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO WELL ID <br /> CLIENTISTATION # ADDRESS <br /> DATE <br /> CASING DIAMETER (inches) 2 3 4 45 5 6 8 12 Other <br /> lancLE ova <br /> GALLONSIUNEAR FOOT 017 038 066 083 1 02 is 26 58 Other <br /> TO -OTW - X GALLONS- X CASING CALCULATED ACTUAL <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED START(2400 Hr) END (2400 Hr) <br /> DATE SAMPLED START(2400 Hr) END (2400 Hr) <br /> TtM itQ4l3 to"n;' x _ i, -. TEMPE#ATUR v 'n � QR 3Eifl$li�t�iC <br /> s �v.� roSdstJ ¢ G o ssic <.v a t,,,., v� <br /> Fp <br /> „a a asr��' o),o <br /> �� 1J � a$J��tt�lOsrrCm< ^}�" `;N,a a c�£'�-t�l/CS�1� ,� � <br /> f.r. <br /> o`cv <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(I a FS-1, XDUP-1) <br /> �S ^, {.- A��Si ��.J .aSk'� yy n��•�srt y �y h,.. 4�,MS� ¢;o jy J�ya,'�{'a 3�v'sr t?aS��kA <br /> ..r i n3� n ��5�. ���:c� S a> ;,�cn• .r �a+s�?`Y .�* �� SeGod�•1+�d«6:!cXOAA' kf'�acW. <br /> 2'Btadder Pump ease.(Teflon® 2 Bladder Pump Baur(Team*) <br /> Cemnlugat Pump saw(Pve) DDL Sampler Baur(StalrAess Steel) <br /> Submersrbte Pump Bahr(StakAoss Dipper Submersbie Pump <br /> Steep <br /> Vac Truck <br /> Dedsated Baler Dlsposabie Oedmated <br /> Other Other <br /> WATER COLUMN X 90 r 80'X.RECHARGE (TO - SM RECHARGE+ ) SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF <br />