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' GROUNDWATER SAMPLE FIELD DATA SHEET <br />' PROJECT NODI Q S �/i G LD� � WELL ID <br /> CLIENT/STATION # X`6ZC�' 4 7 ADDRESS -z <br /> DATE <br /> CASING DIAMETER (inches) 2 3 L��4 <br /> 45 5 6 8 12 Other <br />' (ClPZLE ONE) <br /> GALLONS/LINEAR FOO 017 038 6-9 083 102 1 5 26 58 Other <br /> TD�+ _pTW X71 �Lr� X GALLONS. X CASING . �•�� CALCULATED �� ACTUAL � 7 <br />' WATER LINEAR FT Z CASING VOLUMES PURGE PURGE <br /> �/ C LUMN VOLUME �j <br /> DATE PURGED / �` START(2400 Hr) /3 5 END(2400 Hr) C/ <br />' DATE SAMPLED 7 START(2400 Hr) f x_57 END(2400 Hr) <br /> L <br /> {4Ty1I7Mi/Cr�� . .r. 4//..�ii��rfRth'].�11M��}[[t{}i}M.��lrr:�}�;,,v},i..h ..+ccicr�in.�,'..Y^}rla;,:„,,}�:,.1M1`RIh,4},i#pt,?,9���,au.�tv,,.V fia•uYr�s}rh+Aa;`J:�V aiioirr,s'.Jr�`(t.S v.k"%s��4+�ca¢,Y,htfa'y�v}�,,.r,�t9MM--ttt}`3af'7 SfV,hSn axrLc'a��tc't�:i�;}y�V�f.t.•cu.44..npn+L,Ycp4c.��}�t�LRi$+�3�R4fi1f'l+�o,rti+,x^,a��i S��$w.4'�ifya�4�vrS`�..a�,+'�iltY�tCYM 1}�:lG`r�y��.}Sa'+F.,.r,}cw5ilip. .,�Lt-s`F.,4f��I1�rCC�.a.�oY'o},•�U`'�l. ,i}'e..y}`'`:w•7F'c�i,a�}°�2,'j 9}cJ���•�3, <br /> yyI�af��rf�Ma.3,i.f <br /> C <br />' /�//G / 0 - . 7 3 d -;7-3 - / /-v <br /> 2 7- <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(I a F13-1, XDUP-1) <br /> PIfAGEtr�Ei`itla{"1�(ElFT � � "� .'�AMP�kiGi-E'4.UlPA(Et�'F <br /> 2 Bladder Pump Baler(Teflon® 2 Bladder Pump Bader(Teflon®) <br /> Centntugal Pump Bader(PVC) DOL Sampler Sader(Stainless Steen <br /> Submersible Pump Bader(Stainless Dipper Submers+ble Pump <br /> Sleaq <br />' Vee Trude <br /> badicsted Bader Disposable Dedicated <br /> Other Other <br /> i <br /> WATER COLUMN! 11 Y X 80-80%RECHARGE f (T4 80%RECHARGE-52 3 SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME} �'�_ �'/G�! Gr SIGNATURE <br /> REVIEWED BY DATE <br /> IPAGE OF <br />