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nr a' tbc- i4drr{xMfs3� <br /> I. <br /> Site A(Idte3 • Site Number <br /> City f'ioject No Acw <br /> '4� Sampled By �i�L.(.. Project PML <br /> Date Sampled -�_'+�"( <br /> Site Contact Phone No <br /> Water Level Data Purge Volume Calculations Well Purge Method Sample Record Field <br /> Total Casing Three Actual DTW Data <br /> Depth to Top of Depth of Water Well Multiplier Casing Water At Dissolved <br /> water Screen Well Column Diameter Value Volumes Purged No Sample Sample Sample Oxygen <br /> Well ID Time feet feel feet (A) (inches) (B (gallons) (gallons) Purge Bailer Pump Other Time I D Time (mg/L) <br /> 1�''1 og✓1"Z 3 �`� Z <br /> w l3 $3� �.`!d .V H z•a 2- h �' tid f 3 fJy go <br /> PU' Ito <br /> 1370 <br /> gep <br /> AV - - <br /> ? 3 k K <br /> P/W� A0 s <br /> lwv� <br /> (A)Casing water Column Multiplier Values ` <br /> Depth wtr Depth to Bottom 2"=0 5 4"=2 0 6"=4 4 Page 1 of 2 <br />