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'W <br /> , <br /> x fir^ 1' ,5b f .(�,1��R <br /> FFi�64p ��r § h Site Address Al. �✓/ Site Number�lG1 � <br /> 3nrPr '�}may v44=i,�3v rYS, , y4 2 np py' i J4�ff'�,l{ 'y, ,n '� r �r ,3 <br /> Protect No <br /> Sampled By CH'IA-L Protect PM <br /> Date Sampled <br /> Site Contact Phone No <br /> Water Level Data Purge Volume Calculations Well Purge MethoF—T 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 feet feet (A) (inches) (B) (gallons) (gallons) Purge Baler Pump Other Time I D Time (mglL) <br /> I - 130 W3 3 z <br /> 1 3 •7 4S z 2• OKAII <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 />