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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO WELL ID <br /> CLIENT/STATION tr ADDRESS <br /> • DATE <br /> 1 <br /> CASING DIAMETER(inches) 2 3 4 45 5 6 8 12 Other <br /> 4cwmg Own <br /> GALLONSALINEAR FOOT 017 038 066 083 102 is 26 58 Other <br /> TD --DTW X GALLONS. X CASING . CALCULATED ACTUAL <br /> WATER UN EAR FT t CASING VOLUMES PURGE PURGE= <br /> COLUMN VOLUME <br /> DATE PURGED START(2400 Hr) END(2400 Hr) <br /> DATE SAMPLED START(2400 Hr) vim} w END(2400 Hr) <br /> .� n4ya�Y.� i f£ '{' Y N tr otY" y�" `i'��ti,�.ti��"J'`o'CMy"Y, �••��O 'ha'FL} f 34Y .�F7 v p •f� 2 <br /> I <br /> f� <br /> 1 <br />' . FIELD OC SAMPLES COLLECTED AT THIS WELL[t e.FBA. XDUP-1) N <br /> v` <br /> %fir^ti✓r:.ia <f� v*ti&ai" v �a£LNl. �u <br /> x BEr+dder Pump Baler(Telford Z'Bbadder Pump Baas(Toone) <br /> Cerdrdugal Pump Beier EPvCI DDL Sampler Saler(SLsJesa stop <br /> Submersible Pump Beier(Stakdess Dipper Svhmersrble Pump <br /> 5tee0 <br /> Vac Truck <br /> Deda:aled Baler Duwoaable Dsdx*ed <br /> Other Other <br /> WATER COLUMN X 80.80%R£CHAP&E (TO - SM RECHARGE. SMILE DEPTH <br /> REMARKS <br /> ii COMPLETED BY (PRINT NAME) SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF <br />