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/GROUNDWATER SAMPLE FIELD DATA SHEET <br /> JPROJECT NO �36 W l � WELL ID — �Z <br /> CLIENT/STATION # �� /0 d y 3 ADDRESS 50 <br /> DATE <br /> CASING DIAMETER(inches) (g2 3 4 45 5 6 8 12 Other <br /> (OFICU ONq - <br /> GALLONSILINEAR FOOT 1 038 066 083 1 02 1 5 26 58 Other <br /> - <br /> TO V�'`�3orw�� �' X GALLONS. 7v X CASING +� CALCULATED 1� ACTUAL <br /> WATER LINEAR FT 9 CASING VOLUMES 3,�J PURGE PURGE <br /> / OLUMN VVOLUME T <br /> DATE PURGED �! START(2400 Hr) L7d a END (2400 Hr) f s� <br /> DATE SAMPLED 3 START(2400 Hr) l�1 END (2400 Hr) <br /> s�w 'r'}{�•j_}t �,:��y^i h �, ` v } �� p 'EL:frx+S�,n ,So+^f <br /> 6, 71 <br /> 3 G), 7/ '31, 1 r � v <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FS-1, XDUP-1) <br /> 2 Badder Pump Baler(TelkwO 2'Bladder Pump Baler tTetbrGJ <br /> Centrdupd PUMP Bader{PVC} DDL Sampler Bader lSWnless St000 <br /> i <br /> Submeraba Pump Saderistarnless ripper Submerablo Pump <br /> T� Steeq <br /> Vac Truck <br /> Dedicated Baler Disposable Dedicated <br /> DU»r ��}} �A /Otherr}7Y�, r <br /> WATER COLUMN t7�r� X 80+80%RECHARGER `� ��TD SOX RECHARGE{{J�` SAMPLEDEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) �U ton&z✓ SIGNATUR <br /> REVIEWED BY DATE <br /> PAGE OF <br />