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C -7 �EQUI��_� NVELL AMONITOWNG 1���IA SHEET <br /> tee <br /> 1 �� � l S1tE': �� �. �r'^ 2, I <br /> S e7 <br /> IS1111 <br /> i1picl- —Z___,q .1IIM 13 Date: '7 - to -a ! <br /> Well LF).: pig.✓ - l �} Well Diaiiieter: (:2) 3 4 G `> <br /> TOal V' 'ell Depth: ^7 ). ��_` Deptft to `Vater: 31. cyr <br /> De13t11 tc1 Free PRAILlct: ThickHeSS Of 1'1-ee PFOCluct f feetl: <br /> llclerclloed tu: -< Grade D.U. tldeter f-if'recl'd,l: H:'(lI <br /> Fort, M,-dwd} 11,61rl �.'�tena S�InI ling ,letlmcl: a! e <br /> f Ii�I,r,��ihi'_ 1 -�ilcl (',_ri�lnitic C�i,pns�ihlc [3�!]ci' <br /> . tc c 'r' , ilE r. :��::•rn, 1'��n�l� I";litlClis,il I'r,�l <br /> I-!.Ct11c cuI'III lFTLIk. i �:!1e� l� rin:�tccl 1-ti!•nl�� <br /> TV- <br /> rllhFr ` I� <br /> I t_'ase Vollulle Specified Voluiufe !� rariirs k(1s Calculated ulutne <br /> Time Temp (0) P11 (Intl. Turbidity t i tls. Removed t_l{�seryttions <br /> -7.s" 5— —7. 6 t; aa� <br /> -7. s' 'b 4 � � -- <br /> 1 <br /> L-1fir" -7. �, ,� ti at <br /> Dry <br /> Dict «cell de«-ater? Yes Gallons actually e�,miated: <br /> Sampling Tillie: l 31l) Sampling Date: 7 - 1 o -o I <br /> Sample I.D.: .Laboratory: iir secpuoia Outer_ <br /> i <br /> Analyzed for: U 3T£37 TF1 T-!) <br /> i <br /> EB I.D. (ii applicable): r;;,,e Duplicate I.D. (if applicable): <br /> A11AlV7P..11 fnr: TP-1I-(: R T F X7 RTP11-n nrh�► <br /> f tngf <br /> D. (iI'recl1 d): Pae-pun,gi rge: Post-�ur�e: it L <br /> R.P. (if rec 'cl): Pre-}purge: mV Past-purge: t�iV <br /> BLTINE <br /> :ECH SERVICES POSERi AVF ;Aq ,;oSF. nA ?1 -n�o.l,^ <br /> ��®.a _ YOM E7.^,OV5 FAY, =11 5714-71 . ONTRACT OR's PCFYSE A746104 <br />