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GROUNDWATER MONITORING FIELD DATA SHEET <br /> Project No Sample Tech i a !4 mac" well IDPI w _ I <br /> • <br /> Site Name Site Location 7- <br /> DATE <br /> WELL GAUGING INFORIMATION <br /> Date Gauged Depth eF Weti Depth to Water Calculated purge Actual Purge <br /> wi' (ft volume (gal) Volume (gal) <br /> u, 7, 12- <br /> Casing <br /> , 7. 1zCasing Diameter. 2" 4" X 4511 b" Other <br /> Floating Product: Yes-/_ No Color IT..b,-.-, Thickness (ft) <br /> Quantity of Free Product Skimmed/removed:_� <br /> Sample Date: Sample Time: <br /> Depth to Water at Sample Time- <br /> Sample Method: Pump Bailer Disposable Bailer Other <br /> PURGE WATER MONITORING <br /> FDatePurged. Start time: End Time: <br /> hod: <br /> Time Cum. Temp Conduct- PH Color Turbidity <br /> Purge (°C) ivity <br /> Vol. ( al <br /> Well Box Inte rite seals bolts hd skirt lock, etc ; <br /> Co—Mments- <br /> 7J r,tz[5 G 7 �:�G i}w /� C�l ✓ rr.�l �[ <br /> Ic <br /> C�wordlforms%GW Sample Data Sheet doc <br /> Revised 9/19/99 <br />