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Water Level Measurement and Sampling Form <br /> Meacirring Pnint Flavatinn- <br /> Well I.D. MW a. " to Water 1ct MPaciirPment <br /> Site Name- Depth to Water 7nri Measurement- <br /> SitP Arlrlrecc Avg Depth to Water <br /> MeacnrPd Well Depth- <br /> Date. Wetted Casing Length lineal Feet: Calculated Single 2" <br /> Name of Sampler- Casing Volume:_X.16 gal/ft— <br /> Signature: <br /> al/ft=Si nature: r Volume to Purge 4 Volumes: <br /> Time Cumulative pH SpecificTemperature Appearance Notes <br /> Purge Volume Conductance OF <br /> umhos/cm <br /> Pnrgi g Device I Itili7erl- <br /> Volume or Flow Rate: (VOSS WSCV Disposable= 1.01iters or 0.264 gal) <br /> Samples Collected/I.D. Description: <br /> Time: <br /> Containers: <br /> H\WPDATA\NIIKE\Proceed\4H2O.DOC <br />