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ENVIRONM,EN' 1N'C Site Address: <br /> 4 Site Number:✓5 <br /> r <br /> Project No. <br /> 7 Project PM <br /> sr,.. '� Sampled By <br /> Date Sample <br /> Site Contact Phone No. � �� <br /> Water level Data Purge Volume Calculations Weil Purge Method Sample Record Field <br /> Tolal 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 ID Time feet feet feet (A) (inches) (B) I (gallons) (gallons) Purge Bailer Pump Other Time I.D. Time (mg/L) <br /> Wa +� e�� r Itlki I <br /> Orly <br /> 1� �3• •�� a73fl ,d <br /> 4) IL51. <br /> arm 3.�7� 3 9•�� u � 0 1.1 7 PVT <br /> HN. <br /> � (�20 H3. �� 3Q� � `� �� � x 4�fi ►a�w1 d Dy� H <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 /> I <br />