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-For _ m GROUNDWATER SAMPLE FIELD DATA SHEET r-- -- <br /> PROJECT NO 0),o lD 5 ZOG 000 WELL ID fn tv- 3 <br /> CLIENT/STATION # 4fo ZZ&O ADDRESS <br /> i <br /> I BATE `3 3f 9qc�- <br /> CASING DIAMETER(Inches) 2 3 / 45 5 6 8 12 Other <br /> iuRcza rxa4 — <br /> GALLONS/LINEAR FOOT 0 17 0 38066 083 102 1 5 26 58 Other <br /> To 74 70 –DTW = X GALLONS y X CASING = CALCULATED Z� ACTUAL ?h <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> 7 ZJ COLUMN VOLUME 1 <br /> DATE PURGED 3' J2/ START(2400 Hr) ,0CJ END (2400 Hr) <br /> DATE SAMPLED �1"✓� — START(2400 Hr) END (2400 Hr) �C / <br /> I <br /> TIME 1fOLU11E r III f C ~ A TB6101ATUFf, CQLOR ~ ~ T#.!naletw ~ <br /> (24w NO (920 (urge) - E f t (mai}n <br /> v <br /> i <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a FB-1, XDUP-1) <br /> PiRGilb$'i . ' � <br /> 2 Bladder Pump Sager(TefbrG 2'Bladder Pump Bazar(Teflon" <br /> Centrifugal Pump Baler,{PVC) DDL Sampler Baler(Stamkm Sleeq <br /> Submersible Pump Sager(Stainless Dipper Subtrterarble Pump <br /> Sfeeo <br /> Vac Truck <br /> Dedicated Bader Disposable Dedicated <br /> Omer Other <br /> WATER COLUMN X 80=80%RECRARGE�q TD 80%RECHARGE. / SAMPLE DEPTH <br /> REMARKS PO j,912- ���� /`P p G�af� <br /> Gf %� <br />` COMPLETED BY (PRINT NAME�1✓'S i� SIGNATURE_ <br /> REVIEWED BY DATE <br /> PAGE OF <br /> I <br />