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GRCUNOWATEA SAMPLING FORM <br /> ` F�rt0`,�E::�T' I�IFt�R�1rfAT3'f�M1E <br /> /' ,� i <br /> CJEC T INANE S c�9`del� PROJECT NUMEF-R :� � 1� WELL NO 3 T <br /> FRCJE::T MANAGER -� TYPE OF WELL Mcnitanng Extrac:ian ,Other <br /> RECORDED 8Y �� SAMPLED 8Y ' DA i� <br /> i <br /> !` VVE' r rURGNC"[NFORMR.T1aU- I <br /> PURcGE VGLL+ME RURGc ME7HC0 <br /> Well Camrig©iameter <br /> 2�ncZ 4-artC7 Other 8 ter - Type <br /> � Welt Tctat Cepsh &rJ10 feet telaw Tap of Casing.To Gtner - Sp <br /> ty <br /> Cepth to Water fest t:elm Top of Casing,WL H an Clots <br /> � water C3tumrt L_ngttt ��2 tees <br /> '`Yea No <br /> E Parte Vam=a,Catc:lauon Maw Cattunn Length x Muittptter x Na Vatumes = Caicutatea Purge Votume) <br /> J s z z—x X - = --A2 <br /> Catrutated Purge Vaittme = rry <br /> (WCL) (Mudlmer) 7 (IVa Vatumpm) Actma Purge Valume = c rss <br /> I. 1�lltlCllE_^f[:wSfiL'"EIaQIEt2" fiC.eSi ��i'2ttlt]51tSL1eH7wf4Ci ==C.m 4—'tiT` =-1'� A - ,, :. <br /> Gmtmd ratef Parameter Measunxnent: Meter Type C }CakratedZess,No <br /> TIME <br /> �E-APEFZ iF-GWRA,—a OTW H E� TUk SErrY`IE F R��X C:.Mi1AEV T 5 <br /> (ft) Qnhcslcrt (rte mV <br /> n� I 013f DIX.I <br /> A33 <br /> K� � <br /> I t o I C�� 10 62.121 9 <br /> 5 I 19-34 IC-3 I34, 9I <br /> \%AM <br /> I <br /> I <br /> I I I I I <br /> I I I I I I I <br /> I I I I I I I I i <br /> I I I i I <br /> I I I I I I ! <br /> I I I ! <br /> I i I <br /> axa� 1SSM� ' � <br />