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GROUNDWATER SAMPLE FIELD DATA SHEET�/ <br /> F PROJECT NO S 3 60 1/ !/ WELL ID (/ — <br /> CLIENT/STATION # GQ�Oy3 Y <br /> ,..— ADDRESS 501U1, .v <br /> l/CAcct, �aotlr <br /> DATE o�3 <br /> CASING DIAMETER(Inches) 3 - 45 5 6 8 12 Other <br /> (annr ONq — .— <br /> GALLOONSILINEAR FOOT gO7 0 38 084 1 02 1 5 26 58 Other <br /> TD V•.'�O DTW ;'ql Si X GALLONS.Q' V X CASING .0:2' zdr5 CALCULATED 3 ACTUAL <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED e2w START(2400 Hr) 13ISO_ END(2400 Hr) <br /> DATE SAMPLED o) START(2400 Hr) , END (2400 Hr) _ <br /> IL <br /> ,pry �, / _G <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(I a FB-1, XDUP-1) <br /> 12� y�,M 'in�..(��}r,�ryipYs'•'�Yd.�N�-� " �iib�''' �k �.,f+c3� }''�"K�i, 3��iMS-`J 4 <br /> i j <br /> V if�� R SYShYn6Y S Q P r1!'ivf{� n Yh� <br /> i. <br /> 2 Bladder Pump BaAef(TNkme 2 Bladder Pump Baler(retkm0) <br /> Cardrtugal Pump Baler(PVC) DOL Sampler Bailer(Stamleas Steeq <br /> Submersible Pump Bodar(Simnless Dipper Submerarble Pump <br /> Staaq <br /> Vac Truck <br /> Dediaided Baler Disposable Dedicated <br /> Ovw /Other. <br /> WATER COLUMN 5r-7'fX 90.e0%RECHARGE �TO sox RECHARGE 43'5 SAMPLE DEPTH W�� <br /> REMARKS �,l��./� �x/� <br /> COMPLETED BY (PRINT NAME) �� ev-e_ SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF <br />