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GROUNDWATER SAMPLE FIELD DATA SHEET <br />' PROJECT NO _ 020105306 060 `] WELL ID <br /> CLIENT/STATION # ARCOIA 2v - ADDRESS -C{ �{ �� <br /> DATE zQ� <br /> T <br /> - CASING DIAMETER (Inches) -- 3- - 41-- 45 __ - 5 - 6 8 ---12 — Other- - <br /> (QRaLE ONP <br /> GALLONNS/I/I LINEAR FOOT t0 17 0 38 066 q 083 102 15 - 26 58 Other <br /> _ TD S•U�DTW _ \ X GALLONS= 1 F� X CASING rDKE!)?— CALCULATED ACTUAL - L <br /> WATER LINEAR Fr 1 CASING VOLUMES PURGE PURGE <br /> COLUMN _ VOLUME - T <br />' DATE PURGED _ Z START(2400 Hr)- END(2400 Hr) <br /> DATE SAMPLED _ 4 l START(2400 Hr) 'T- END(2400 Hr) <br /> MPE <br /> °{2410aNr?� 49 (Klt ,om (vi5u m { <br /> Z - lOeD 2--*3 ,-g C'�.'t c)o r <br /> 10 a Z4 <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a F13-1,XDUP-1) <br /> �°• r.°«�. <br /> sa1^� �'�* �e�zY�PURGING EQUIPMENTr r y tti ^° tl �SAMPLENGyEQUIPMENTi ffi 3n" sx <br /> 2 Bladder Pump Bader(Teflon(b 2 Bladder Pump Bailer['Teflon®) <br /> Cenintugal Pump Bader{PVC) DDL Sampler Bailer(Stainless Steel) <br />' Submersibie Pump Bader(Stainless Dipper Submersible Pump <br /> Steel) <br /> Vac Truck <br /> Dedicated r Beller D4sposahle Dedicated <br />' Other Other <br /> WATER COLUMN X 80-80%RECHARGE (TD 80%RECHARGE_ SAMPLE DEPTH <br />' REMARKS <br /> COMPLETED BY (PRINT NAME) SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF a <br />