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Site Address Site Number <br /> ��- <br /> City It/yP Project No <br /> Sampled By (�%[L6 - - Protect PM <br /> Date Sampled J Of <br /> Site Contact Phone No <br /> Water Level Data Purge Volume Calculations Well Purge Method Sample Record Fiefd <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 Bailer Pump Other Time 10 Time (mglL) <br /> tM40— 0�22Zo z — µ , 2 ~z r a��y <br /> Z oY.36 S3 20 r z o v� <br /> 3 w- Sg 2D (,t 6 d <br /> `! q 13 z G5 I o LC <br /> v 6 o Yet 2 35 <br /> S� O <br /> -.�• G X5 2 DI <br /> t!'0 rXi� <br /> Wo- 0-?ql 20 qJ JAY <br /> z cf 5 1low r <br /> f1-3 c'l '3 y� 200 <br /> (A)Casing water Column w i""' �� Multiplier Values <br /> Depth wtr Depth to Bottom _6 �/ �rsr- 2"=05 4"=20 6"=44 Page 1 of 2 <br />