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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 020105306 0606 WELL ID �q-J H & 2 0 <br /> CLIENT/STATION # ARCO/#2133 ADDRESS 2908 Ben Holt Dr, Stockton- <br /> DATE L Z(r 6 <br /> CASING DIAMETER(inches) 2 3 4 45 5 6 8 12 Other <br /> (ORME aNP <br /> GALLON'S//LINEARFOOT 017 038 066 083 102 15 26 58 Other <br /> TD O- oTw(/J 0�p � X GALLONS e S- �/ X CASING e CALCULATED ACTUAL <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> COLUMN 11 rrVOLUME <br /> DATE PURGED Z bLei 1 <br /> START(2400 Hr) At END(2400 Hr) <br /> DATE SAMPLED Z 8 START(2400 Hr) l Z `ZS END(2400 Hr) <br /> ZI <br /> 73/ <br /> r <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL p e 178-1,XDUP-1) "2 <br /> _r_ekdd-Punp _ea4-11T0!0r0W _r sladd-Pump - .(�• f <br /> Cermduaw Pump - saw(PVQ DDL Sampler - - sailer(SIAM14 a swq <br /> Submealbb Pump saner(Stalnlen dipper suomeralblo Pump <br /> su�y <br /> Vao Truck <br /> Dadinted seller DWpoud& Dedicated <br /> Other Y 5ou+er- <br /> WATER COLUMN( 10 X 80.80%RECHARGE TD so%RECHARGE. � SAMPLE DEPT!I <br /> REMARKS <br /> COMPLETED BYNAME <br /> PRINT SIGNATURE <br /> { ) <br /> REVIEWED BY DATE 3 <br /> PAGE OF <br />