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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> 1 <br /> PROJECT NO 020105306 0603 WELL ID <br /> CLIENT/STATION # ARCO/##2133 ADDRESS 2908 BENHOLT STOCKfON CA <br /> ( d _ <br /> DATE / <br /> CASING DIAMETER (Inches) 2 3 4 45 5 6 8 12 Other <br /> CIRCLE ONE) r- <br /> GALLONS/LINEAR FOOT 017 038 066 + 083 1 02 15 26 58 Other <br /> "��7� BTW �P�� _ -7 � X GALLONS= ` X CASING = 1� CALCULATED C4 ACTUAL_ <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> COLUMN '}VOLUME ? { <br /> DATE PURGED � � START (2400 Hr) �/I_ END(2400 Hr) 2 Jf <br /> DATE SAMPLED f94j <br /> � START(2400 Hr) L4 1 110 END(2400 Hr) r.7� <br /> z <br /> Z' Co 1 :15-S ! r <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(I a FB-1,XDUP-1) <br /> 2 Bladder Pump Beller(Tenor* 2 Bladder Pump Badw(reGarl� <br /> Conhingal Pump Bailer(PVC) DDL Samplw Baiw(SiaiNw sow <br /> SubmasfbM Pump BOW(Stabl"s DOW Stdwneral4M PUM <br /> sMn) <br /> Vee Tnxx <br /> Dedcated BaNer Disposable Ded5wed <br /> Other Olhw- <br /> WATER COLUMN X 80.60%RECHARGE (TD 80%RECHARGE. SAMPLE DEPTH <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF <br /> I <br />