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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 020105306 0606 WELL ID _ 4 — 6 0 <br /> CLI ENT/STATION q A COI#2133 ADDRESS 2908 Ben Holt Dr,Stockton <br /> DATE <br /> CASING DIAMETER (Inches) 2 4 45 5 6 8 12 Other <br /> GALLL+O�NSS&INEAR FOOT I 017 038 066 083 102 is 26 58 Other <br /> TO DTW l X GALLONS w X CASING w CALCULATED ACTUAL <br /> WATER LINEAR FT 1 CASING VOLUMES PURGE PURGE <br /> r ( COLUMN VOLUME <br /> DATE PURGED Wo` D 4L START(2400 Hr) END(2400 Hr) ' <br /> DATE SAMPLED START(2400 Hr) � END(2400 Hr) <br /> 12 : 30 Allow <br /> 2 J 7 o 6 zo 9 Nr <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL Q e FB-1,XDUP-1) <br /> r SiaGder Puha Baler{retia 9 2•Blame.Pump Biller(Tetlorl" <br /> Ce*HU9ai Pump Bala(PVC) DOL Sempiw Beier(Stww"&oo <br /> Sutimeraa"Pump Bala(Stainkm Dipper SWffwmlAa Pump <br /> Ste" <br /> Yeo Truck <br /> Dedicated Bela Dbpmame Dedicated <br /> Other' Otlsr <br /> }WATE (TD . 4%R£ NE � <br /> R COLUMN X 80 W%RECHARGESAMPLE OEM <br /> REMARKS: <br /> C` <br /> COMPLETED BY (PRINT NAME) WM SIGNATURE; <br /> REVIEWED BY DATE' l� <br /> PAGE OF <br />