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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 020105306 0606 WELL ID 0 <br /> CLIENT/STATION# ARCO/#2133 ADDRESS 2908 Ben Holt Dr,Stockton <br /> DATE r Z/$ICI c� <br /> i <br /> CASING DIAMETER (inches) 2 3 4 45 5 6 8 12 Other <br /> (CIRCLE ONE) <br /> GALLONS/LINEAR FOOT 017 038 066 083 102 15 26 5 Other <br /> TO _24 1 DTW l(S 33 a � X GALLONS X CASING a � CALCULATED ACTUAL <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> Gt /!COLUMN VOLUME <br /> DATE PURGED Z r/ �i START(2400 Hr) / /S� END(2400 Hr) <br /> DATE SAMPLED t z START(2400 Hr) l rEND(2400 Hr) <br /> 7 Z7 -21 G <br /> 2 /- 7 tw <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL Q e FB-1,XDUP-1) <br />-7r Bledd.r Pump Bailer(Fenno r Bladder Puma Baler(Tena! <br /> CenbHupel Pump Baler(PVLy ooL sampler Bauer(Stalnlses Stoefl <br /> suxnws&le Pump Bauer(Stabless Dipper B ible Pump <br /> &lean <br /> Vac TMJI* <br /> Dedicated Bar Oisposaw Dedbated <br /> Oyer 5 Ower'L� <br /> WATER COLUMN _X M a 60%RECHARGE S \ - 8076 RECHARGE..f I' 1 i1� SAMPLE OEM � <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) SIGNATUR <br /> REVIEW BY��} DATE Z" <br /> PAGE OF 1 l <br />