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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> 1 PROJECT NO 020105306 WELL ID <br /> CLIENT/STATION# ARCO/# ZL ADDRESS <br /> t1 � CAS Tt✓ 1-- <br /> DATE Z-� 19 4— <br /> CASING DIAMETER(Inches) 2 - 3 4 J 45 - 5 -6 8 12 Other - <br /> (arICI.E CNE) <br /> GALLONSILINEAR FOOT 0;{17 038 (1 66) 083 1 02 15 26 58 Other <br /> X GALLONS- 10'2,5_X CASING 4 7e CALCULATED ACTUAL _ <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED 66) 2 START(2400 Hr) �r7 -C END(2400 Hr) - <br /> DATE SAMPLED (�� 2 �' START(2400 Hr) C� - - END (2400 Hr) -a <br /> 2x00 g s c (v s aly <br /> Z z �g + <br /> :to 2 rZe 21 \6) 7-:Y- z c <br /> t1Yt Z 7� Z2_ Z,,/- 24- , -4A <br /> zgto �y 11 <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a FB-1,XDUP-1) <br /> HGING EQUIPMENTSri��AMPLING EOUIPiuSE <br />' 2'Bladder Pump Bader{Teflon® 2 Bladder Pump Bailer(Teflon®) <br /> Centrifugal Pump Bader IPVC) DDL Sampler Bader{Stasnless Steel) <br />' Sutxnersdste Pump Basler(Stainless Dipper Submersible Pump <br /> Steel) <br /> Vac Truck <br />' Ded"ted Bader Disposable Dedicated <br /> Other Other q <br /> WATER COLUMN x 110.80%IIECHARGE TD BO%RECHARGE+ SAMPLE DEPTH + 1 <br />' REMARKS <br /> I <br /> COMPLETED BY (PRINT NAME) y� - lO�► Y� SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE Z. OF.0 <br /> I <br />