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' GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO��/�1 /5�306,_e(C-3 WELL ID �t�/` <br /> CLIENT/STATION # /`7"K CD c7�d 7/6 ADDRESS <br /> DATE <br /> F1 <br /> CASING DIAMETER (Inches) 2 3 45 5 6 8 12 Other <br />' (GFICLE ONE) — <br /> GALLONS/LINEAR FOOT 017 038 66 083 102 15 26 58 Other <br /> TO [/_ �DTW ��' .. X GALLONS.-20 C6 COX CASING . 23.s%LCULATED ACTUAL <br /> WATER LINEAR Fr 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED !D C `7 START(2400 Hr) �a 5 END(2400 Hr) <br />' DATE SAMPLED oZ START(2400 Hr) _ 3�1 END(2400 Hr) G <br /> M4 <br /> r 8 -'r {' . sti+MYlwr�r ,: {$' C` r"fT�a"ys �y Srp•`6.od Gi iI�otr ,n T�W� afi'� �R7i4`� . a <br /> 2 r x Y#. 8yp^ nH r c 03 > <br /> io.� �QD Ir W v ntrint8 °7° (I� f , $ 8 <br /> tSG��c`e i 2 �c�. a ,� 'C`n�?f..*c:fr✓ o k fo rrA-,.�rii 8 r'{j <br /> ri°3rF±+ 'k4} }a4 <br /> rye <br /> 90 <br /> a0 0, 1 -7 5; �r.0 131c,« A^ <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a F8-1, XDUP-1) - <br />' v Pl3PIQIHf3EQ(�g�jj{ <. '4`� } 't '.:i: `�}, o�+4u ,b}}♦`��}((} 1Nr��J,rpyy- - ` ' v <br /> 2 Bladder Pump Baler(TeflonO 2'Bladder Pump Boder(Tallon®) <br />' Centrifugal Pump Salar(PVC), DOL Sampler Bader(Stainless Steep <br /> v Submersible Pump Baler(Stainless Dipper Submersible Pump <br /> f Steep <br />' Vac Truck <br /> Ded+cated Saler 0s3pasable DedwAted <br /> Other Other <br /> WATER COLUMN L_X 80.ROM.RECHAAGE I � (TO 80%RECHARGE SAMPLE DEPTH <br /> REMARKS <br /> I <br /> COMPLETED BY (PRINT NAME) % � _ 1� C'� _ SIGNATOR C� <br /> REVIEWED BY DATE <br /> PAGE OF <br />