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' GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 020105306 AG�� WELL ID <br /> CLIENTISTA�TII,O�l N,�# _ _ Al Z�(s� ADDRESS <br /> DATE CQ 1`" 1 1 1 r <br /> CASING DIAMETER(Inches) 2 _ _ _ 3 4 5-- – 5 6 8 12 Other - •4 <br /> GALLONSIUNEAR FOOT <br /> /� 017 038 6& �/^�0 83 102 is 26 58 Other <br /> TD Gg.5c OTW ��`Cly =� X GALLONS= 12-20X CASING n 311D&I CALCULATED_ ACTUAL - <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED (o Z START(2400 Hr) ' END(2400 Hr) •� _ _ �' <br /> DATE SAMPLED GD START(2400 Hr) '" END(2400 Hr) '� -� — <br /> M,EE O <br /> (24001 tr) gaf _ ul�is -hake V seal <br /> C LAO uv _ <br /> . D Z-9, Z 2- -o tots <br /> �- 2 t �S .D L © e <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(I a FB-1, XDUP-1) <br /> f t rt=,NG �rIr <br /> ,�Y�;�,PURGING EOUIPMENT <br />' 2 Bladder Pump Batter(Te1lINoM 2 Bladder Pump Bader[Teflon®) <br /> Cenlntugal Pump Bader(PVC) DOL.Sampler Hatter(Stanless Steel) <br />' Submersible Pump Bader(Stainless Dipper Submerstele Pump <br /> Steel) <br /> Vac Trude <br /> Dedicated Bader DLspmble Dedecated <br />' Other Other <br /> WATER COLUMN X 80.801.RECHARGE (TO BOX.RECHARGE t. ) SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) - -CoU SIGNATURE ` <br /> REVIEWED BY DATE 130 1 <br /> PAGE -� OF 6 <br /> 1 <br />