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I GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO WELL ID <br /> CLIENT/STATION ADDRESS <br /> DATE. <br /> CASING DIAMETER(Inches) 2 3 4 45 5 6 8 12 Other <br /> (CW CLE OW <br /> GALLONS/LINEAR FOOT 017 038 066 083 102 15 26 58 Other <br />' TO —DTW X GALLONS. X CASING - CALCULATED ACTUAL <br /> WATER UNEARFT 1 CASWG 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 /> xUfGv Y 1 it DIN'. <br /> 3 <br />�• FIELD QC SAMPLES COLLECTED AT THIS WELL(l a FB-1. XDUP-1) <br /> vv+a a u<v. w <Kas . mss, rrr.,`�{%-mJ t� s <br /> 2'ate I I Pwnp ever(Taft ra L-Btaddar Punw Baler(Tellwr0) <br /> CentMugal Pump Bailer(Pvc) OOL Sampler Baler(Stamimm Steel) <br /> Submtemble Pump Bahr(fie O+pp" Subnwr bte Pump <br /> Steeo <br /> Vac Truk <br /> Oedreated Eater Orsposabte Dedroted <br />. 0eler Other <br /> WATER COLUMN X 80.SM RECHARGE (TO - 80%RECHARGE. SAMPLE DEPTH <br /> REMARKS <br /> r COMPLETED BY (PRINT NAME) SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE 0F <br />