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N 4 Cr <br /> Yr, ��UIRCNfT �, ! °, . �t- �• L % / )moi / iG <br /> 4 Site/lddress: ✓r�f/ /J J <br /> Site Nwuber:V <br /> Project Pm.- AL r' <br /> Site COnlact&Phorn Number: Site.sampled By: �L Dale Sampled:. <br /> Wa(.er Level Data F'MUO VOIL11110 Calcl_Efatfolls Salllplirir Anal les Sample Record <br /> X91)of 1-01.11 Casing Three Ac(ual Other <br /> Depth to Screen Dep[h 0r Checic if Water Wel Multiplier Casing Water '0TEX 1P1-1-g MTBE _ Dissolved Sample <br /> Water Inlerval Well Piirge Not Colunui Diameter Value VUILImes Purged (0020) (UO-15M) (13020) OxYgen Fregency Sarraple sample <br /> Well Ill Time (feel) (feel) (feel) required (A) (Inches) (D) (gallons) (gallmis) VOA V.OA VOA _ (rng/L) (A,S,Q) LD. Time <br /> El 0 06W <br /> Ej _� --j2 y <br /> w7 0 ❑Ej- - - <br /> 17 <br /> ❑ 'Z, 7- [� _ L7 ❑ El �__ err I v <br /> 0727 <br /> l�wi0 71. <br /> Z - ❑ x, <br /> Ej- <br /> L[ ❑ ❑ ❑ ❑ <br /> ❑ ❑ CI [=-J CJ <br /> L l ❑ Cl ❑_ CI <br /> CI CI ❑ _❑_ ❑ <br /> CJ _ ❑ CI ❑ El <br /> C1 _ _ ❑ L7 ❑ El <br /> �-- ❑ ❑ ❑ ❑_ ❑ <br /> [ I ❑ C[ 11 ❑ <br /> (n1-Gasknr�Watcr Cuhnnul Depilr le U040111-Deplla to Water (UJ-Mullli lien Values; (2'Well:0.�) (4'WeIL 2.0) (G"Woll:4.4) Sauapilaa�5equenca: Annual: <br /> Qu:uierly: <br /> S;natplha� Notes: Last rte ath of Sens file ota C.O.C. l.e.MW 1 3U Make Surd 10 Note on C.O,C."Pruviela lowest relwrfog LimilAv:aila_Ule," ON!final Cu pies of Field Sm!yAl c Sheds arc C_cwaled ira 1'rofecl_f=ile <br /> 11 line water level is below Ute lop of lbe screen,lake a grab sample and check box fur NO f'l1RGr(Ni'). If the wator level Is nbuve the screen,pulp as nurnied. <br /> TL11(. 131ank Sari gilinq Sheels.XLS) - (Page I of 2) Last Printed: 1112101 <br /> it <br />