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• • <br /> Site Address: D � Site Nut Fiber: -fie It L4.11 ° <br /> V Project No,: p' t� •r1y� <br /> Project Manager: Project Pm.Site Contact&Phone Number: Sfle Sampled fs �/ <br /> I y. Dale Sampled: r`•v <br /> Walt?r Level Data Nur a VOIUMQ CaICUla{ion9 SarnjArlr Anal tes Sample Record <br /> Tpp of Total =(1, <br /> Tluee Actual w Other <br /> Dep(li lb Screen Dep[h of Checic if 3ller Casilty Wafer --------------- <br /> L03 FCX 1 Pf I y M fE3E Dissolved Sample <br /> Water lnlerval Wel! !}urge Not Value <br /> Vulunres I'uryed ( 020) (U015M} {f1U20) __ Oxygen Fregency Sample 5aml)le <br /> Well ID llnle (feel} (feel} (feet} Required (gallons) (yatlons) VOA VOA VC?A --_— (mg/L) (A,S,Q) 1.D, Time <br /> 67p W-1-1 <br /> 04 <br /> Q El El <br /> El <br /> ❑ ❑ �LJ ❑ <br /> ❑ ❑ ❑ Cl <br /> ❑ CO ❑ ❑ Cl <br /> Q El <br /> ❑ ❑ Cl ❑ <br /> ❑ ❑ IJ ❑ <br /> -- ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ El ❑ <br /> ° ❑ ❑ _❑_ ❑ <br /> C) ❑ ❑ �_ <br /> L] ❑ ❑ <br /> 0 ❑ El ❑ <br /> ❑ ❑ ❑ Cl <br /> {n}-c,sina water carunm: oeprl,ro ktoga,r-oeplh to Water (ti)-Multiplier Values: (2"well:0.5) (4"Well:2.0) (6"Well:4.4) Sampli„ Saquence: Annual: <br /> Quarterly: <br /> Sampling Notes. Lral rte plh or San„le on C.O.C.I I.e.MW-1(30)]. Mahe SUIe to Nole un C.O.C,"Provide Lowest Reportinq Limil Available," <br /> 11 the walof level's below the top of the screen,lake o pal) a <br /> smohrO <br /> o and check box for NO PUfiG[(NP). Ef the wafer level is above the screen,purge asrrrom afCUpies er 1r-lerd srli Ati Streets are Located in Prdecl File <br /> 7 LA(. •Blank Santpliny Sheels.XLS) <br /> (Paye 1 of 2) Last Printed: i1121Ui <br />