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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO r9-010 WELL ID <br /> CLIENT/STATION # /'/'o <br /> c.o ADDRESS Z Z— S A(-fo l�-L L� <br /> I <br /> • DATE 3- 31-5 1,``i/ C4 <br /> CASING DIAMETER (inches) 2 3 (�I 45 5 6 B 12 Other <br /> (GRCLE ONE) - <br /> GALLONS/LINEAR FOOT 017 038 0 66 , 083 102 1 5 26 58 Other <br /> 4 — <br /> TO `-7 3,40 DTW X GALLONS X CASING . CALCULATED/ ACTUAL <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> 1 COLUMN VOLUME <br /> 7 <br /> DATE PURGED J- 3/ START(2400 Hr) z /f END(2400 Hr) JZ' <br /> DATE SAMPLED }' 31 START(2400 Hr) END (2400 Hr) Iz-s7 <br /> I <br /> TtMIr 'YQE.k3 lE,r S /PIS E; TF, ? 4T£tA F • <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a FB-1 XDUP-1) <br /> 2 Bladder Pump Bailer(Teflon® 2 Bladder Pump Sailer(Temme) <br /> Centnfugai Pump Bader(PVC) DDL Sampler Bader(Stain Mas Sleep <br /> Submersible PUMP Bader(StamMas Dipw Submeryt4a Pump <br /> Sleeq <br /> Vac Track <br /> Dedicated Bader Disposable Dedicated <br /> Other Other <br /> WATER COLUMN X 80.80%RECHARGEp (TO 809:RECHARGE. } SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY PRINT NAM { Jr_~ ��L SIGNATURE J ' , <br /> REVIEWED BY DATE <br /> PAGE OF <br />