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WAT dR SAMPLE F11=LD DATA, <br /> V�.iHELDIOq Tq SH <br /> EET <br /> !717PRO]FCTNo.. l U- `^ � ' �rrx�PefY, w�. 1�1 3A « `FJh,rX SatEyF t>1 <br /> .+moi.••.v\�' ` >f.; L 7:f Y <br /> --� LOCATION; d�03 ,7 �! m <br /> CLIENT/STATION No. ;y-. 'JO44c1-•�.s�Kz WELL ID <br /> l CJ 6 FIELD TECHNICIAN: T�. <br /> ORII� <br /> Witt IIVFIKU <br /> Depth to Liquid: �1- S— 1, j <br /> Depth to water: 1- TOS--TOC DtAM <br /> TOB "- H 4N9&8 FT <br /> 4T ---------.. ....� $ <br /> P <br /> FToadepth:_ TOg2SAMTY <br /> Oate:� -�-TOC �IZ ❑."Groundwater <br /> ` �} <br /> ❑ g ❑ Duplicate <br /> 13Q Extraction well <br /> Probr Type ❑OWWater interface -"--""- 9 ❑ Trip blank <br /> �❑ <br /> 0Electronlc indicator � 152 Q Field blank <br /> ❑Other; ¢ <br /> ❑ & ❑ Equipment blank <br /> Gal/Linear <br /> .. ..-.� 12,6 ❑ Other, <br /> DTW = 5 x Foot_ 3 ' Z.Z l Number of , Calculated <br /> x Casings <br /> V <br /> DATE PURGED: -'_^Z _START: 1 �►35 ENO (2400 hrr ��� PURGED BY: C�"e <br /> DATE SAMPLED: 3'" "gti START: I b ENO(2400 hr}: / <br /> SAMPLED BY: <br /> TIME VOLUME pH EG TEMPERATURE <br /> 0 hr '!I. nits (ranhgjIcm 0 2 <br /> 5-°D Q2LQR TURSIDM ODOR <br /> 3� 67. H_ _ ea v v use... <br /> -,045 14-4(o <br /> N2r� cae.kawo NTW woo <br /> Pumped dry Y °"' ,� <br /> u <br /> FIELD MEASUREMENTS AT TIME OF SAMPLE,AFTER RECHARG I-- " Tram <br /> DTW,. T06/TOC <br /> PURGING £ UIPMENTILO. If SAMPLING EOUtPMENT(I.D. <br /> ❑ Bailer. ❑ Airlift: (Sailer. <br /> Fycentrifugal: _ ❑ Dedicated: Q Dedicated: <br /> ❑ Other ❑ Other. <br /> M !E I,O. DATE IIME(-1400) o.of CONTAIN PRESERVE ANALYTICAL PA&6MET_ER <br /> 1'70.5� 3 41m l VOA H -(- -rPti- ,AS 6TH <br /> 3'31—''�Z �7C "j �_ F✓` . "'p � S�Mi : ,vQ.�/ yU�...ar,�i <br /> HYDRA <br /> WELL INTEGRITY: Good ❑ Fair Q Poor -- -- <br /> �. REMARKS: ----------_- __ <br /> Uw-00M.+EMat <br /> SIGNATURE: <br /> t. <br />