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i <br /> r <br /> Site Addres 2 N CAUr.0Q—*3,k Site Number mule <br /> Project No <br /> m Sampled By Project PM <br /> Date Sampled1 0 <br /> Site Contact Phone No � (( 03 <br /> Water Level Data Purge Volume Calculations Well Purge Method Sample Record Field <br /> Total 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 /> Weil ID Time feet feet feet (A) (inches) (B) (gallons) (gallons) Purge Sailer Pump Other Time I D Time (mg1L) <br /> -t. 52 is7 zI. 3 U10, Z t o r <br /> ZZ*tI ,0 6 ? 3.r �. <br /> `t o 60 cY 2. 11- 34 -z•t -s-L ,� t z�� <br /> Mw- ! kax $o c�f t 0 v j . <br /> �,- G o TIOT- 02v a; oV3d <br /> nor <br /> vvop <br /> (A) Casing water Column / Multiplier Values <br /> Depth wtr Depth to Bottom V Wr� il+� 2"=0 5 4"=2 0 F=4 4 Pagel of 2 <br />