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GROUNDWATER SAMPLE FIELD DATA SHEET / <br /> PROJECT NO 1 l�c�a(��! _ WELL 1D <br /> CLIENT/STATION # Q ADDRESS SD L(J rC•�la 1r2 t�ta�/ oma(/ <br /> DATE ` <br /> CASING DIAMETER(inches) 3 4 46 5 6 8 12 Other <br /> (arra.¢cme _ <br /> GALLONS/LINEAR FOO T0717 0 38 066 083 1 02 l 55 26 58 Other <br /> TO L Ste„_. 0TW �� J O`• / x GALLONS.L,O x CASING . S / CALCULATED 17 ACTUAL <br /> WATER LINEAR ET 1 CASWG VOLUMES PURGE PURGE <br /> LUMN VOLUME f �j <br /> DATE PURGED 90? START(2400 Hr) END (2400 Hr) ` <br /> DATE SAMPLED p' START(2400 Hr) f� END (2400 Hr) <br /> X mak{}At <br /> d, <br /> (0.w, <br /> ~"S } 2yf]l� yph <br /> ('ow eA C/ave <br /> 7 � `-77 `� •G� Q> iD� SCJ. �'Yawv� C,ci <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(t a FB-1,XDUP-1) <br /> SSP <br /> �, w1�(iQt6iB CJ11�+'� , SWh <br /> Y Bladder Pump Baler(Teton* 2'Bladder Pump Bader(Talbrte') <br /> covr dugal Pump Sadler{PVC) DOL Sampler Bader(Starnlsee Slew <br /> Submerarble Pump Beier(Starnleee Dipper Submersible Pump <br /> Steel <br /> XVac Truck <br /> Dedroated Beller Drapoeable Dedicated <br /> 0aw ouw <br /> WATER COLUMN X 80.80%RECHARGE (TD 80%RECHARGE lzo— SAMPLE DEPTH U <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) �-1 /lJ�l/C/�' SIGNATURE.7 <br /> REVIEWED BY DATE <br /> PAGE OF <br />