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7� /GROUNDWATER SAMPLE FIELD DATA SHEET <br /> rPROJECT NO -`� / WELL ID <br /> CLIENT/STATION #_ ('(S�d ADDRESS <br /> DATE_ (41 <br /> ,>2 <br /> CASING DIAMETER (Inches) ) 3 4 45 5 6 8 12 Other <br /> lallati ONQ (� <br /> GALLONS/LINEAR FOOT 17 038 066 083 102 1 5 26 58 Other <br /> TD —DTW X GALLONS. X CASING - CALCULATED ACTUAL <br /> WATER LINEAR FT i CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED START(2400 Hr) END (2400 Hr) <br /> DATE SAMPLED START(2400 Hr) END(2400 Hr) <br /> li�J w � ir�l <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(I a F13-1, XDUP-1) <br /> ? i}�fnk4b 3. ,q•� r > fyr! <br /> „ 6 �zn r W WP <br /> 2 Bladder Pump Baler Uofk O 2'Bladder Pump Barter(TANNO) <br /> Cenudugal Pump Baler{PVC) DDL Sampler Bader(Slain4ss Sleeq <br /> Submersible Pump Baler(Stamlass Dipper Submersible Pump <br /> Steell <br /> Vac Truck <br /> Ded.ted Baler Dopmabla Dadintad <br /> Otter Olhar <br /> WATER COLUMN X 80-80%RECHARGE (TD 80%RECHARGE- , SAMPLE DEPTH <br /> REMARKS 7 <br /> COMPLETED BY (PRINT NAME) 4 �� _ SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF <br />