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Site Addres 6t -Z �d'� be ISD <br /> City l� Project No <br /> Samp ed By ti`tilL� Project PM <br /> Dale No <br /> D <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 o€ 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 sailer Pum Other Time I D Time (mg/L <br /> 711 <br /> L'i CJI. 70 73 o T <br /> a tt3 �r.ot 7 3Z.I( 4 t <br /> e tela '-11.7 11 37.2-7L 74 711 r OILY <br /> y t !. 77- 3ep-0 2, <br /> !.- •t1bLI <br /> . a tiw 4 Lk qt-431 61 7.44`7 "L .5 < <-8 1 ✓ r� ?f <br /> 'L-k 't i.HZ La t!-ec Z I Iy !>> <br /> #Y3 EA tlk*,1 44.Ltf 61 27.0 21 e 13 CA 6 '{ <br /> Q Ott.L 7 , ✓ 2 <br /> tiLfi'lL T-%( 60 (1-Of -tr <br /> Z od P . ..r <br /> T r v- f7 <br /> N <br /> (A)Casing water Column p`►� t~ Multiplier Values <br /> Depth wtr Depth to Bottom 2 =0 5 4'=2 0 6'=4 4 Page 1 of 2 <br />