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} r r .. 'e r j•r; r 1 <br /> Site Address ✓ go Site Number:G/ '4rLd <br /> Y, EN�%1R�NM�N ALr ,!: G <br /> { F iv u D ,1Z�a,9:,. !:_ P�c EC ✓M'�I Project No, �1f� <br /> Sampled By +('i 1 V�.. Project PM <br /> _ �3 > Date Sampled <br /> Site Contact Phone No. <br /> Water Level Data Purge Volume Calculations Well Purge Method Sample Record Field <br /> Total Casing Three Actual DTW Data <br /> Depth to Top of Depth of Water Well Multiplier Casing Water At Dissolved <br /> water Screen Well Column Diameter Value Volumes Purged No Sample Sample Sample Oxygen <br /> [Well feet feet feet (A) (inches) (B) (gallons) {gallons) Purge Bailer Pump Other Time I.D. Time (mglL) <br /> r)3 10711 bI <br /> w a.0 x•77 A <br /> ftoo <br /> ZIF17a IZ DZ ot 73 -�� <br /> VrW 0724 174 7$ '-f <br /> t . <br /> (A)Casing water Column Multiplier Values <br /> Depth wtr. Depth to Bottom 2"=0.5 4"=2.0 6"=4.4 Page 1 of 2 <br />