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GROUNDWATER MONITORING FIELD DATA STREET <br /> Project No.: Sample Tech: rc Well ID: �_ y <br /> Site.NameAr.a Site Location: DATE: g op <br /> WELL GAUGING INFORMATION <br /> Date Gauged Depth of Well Depth to Water Calculated purge Actual Purge <br /> (ft) ft) _ volume (gal) Volume (gal) <br /> q- 8-OD I i� U5. 3 f <br /> Casing Diameter: 2" 4" 4.5" 6" Other <br /> Floating Product: Yes No.?� _ Color Thickness (ft) <br /> Quantity of Free Product Skimmedlremoved:� <br /> Sample Date: _ _ Sample Sample Time: l b S <br /> Depth to Water at Sample Time: <br /> Sample Method: Pump BailerDisposable Bailer 5C Other <br /> PURGE WATER MONITORING <br /> Date Purged: Start time: End Time: <br /> Purge Method: <br /> Time CUM. Temp Conduct- PH Color Turbidity <br /> Purge (°C) ivity <br /> Vol. (gal) <br /> i <br /> 1 <br /> Well Box Integrity(seals, baits. lid, shirt, sack, etc); <br /> Comments: <br /> CAwordVbrms\GW Sample Data Sheet.doc <br /> Revised 9fI9/99 <br />