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"PrFleld Parameter Form <br /> Name iy A4�l f3 ttd } Well Number .-. <br /> Project Location R Weather Hotl Sunny <br /> Project Number b _ — <br /> Ik <br /> Water Level Data Prom top of casing) <br /> Total Well Depth(TD) Z Casing Diameter(Inches) <br /> Static hater Level(DTW) Screen Length(feet) 1-? <br /> Standing Woier Column (WC) Borehole Diameter(Inches) <br /> (TC) DTW) <br /> Well Purging Data <br /> Purge Method submersible pump (gpm) <br /> ' I Well Volume(gallons) k '- 2-�" . Pump Descttpbon 112 HP Grundfos <br /> CO (2' b 169, 2 5' 0,M 4' 0 853 8" 1 A69) <br /> Number of Volumes to be Purged 3 <br /> Total Gallons to be Purged �� Drilling Company for Sampling <br /> ' F{ald Parameters <br /> t <br /> I Volwnia Spec Coad <br /> Tone (gallons) Temp M) (wCM) pH(uNs) t77a' ORP(mV) <br /> M t --7 <br /> F <br /> f <br /> 1 I <br /> t <br /> 1 <br /> { <br /> Satnpling Method dlsp Bader Sample Date <br /> AnalysesV Sample Time <br /> ' Y Duplicate Sample Collected c <br /> Number of Bottles C fi Dupltcata Sample Number <br /> ) <br />