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1 <br /> GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO 020105306 0605 WELL ID <br /> CLIENTISTATION * AR O!#213300 ADDRESS 7906 North EI Dorado,Stockton <br />' DATE ! <br /> CASING DIAMETER (inches) 2 3 4 45 5 6 8 12 Omer <br /> fancaE a+El — <br /> GALLONS/LINEAR FOOT 017 038 066 083 1 02 is 26 58 Other <br /> TO --EITW X GALLONS= X CASING CALCULATEQ ACTUAL <br /> WATER 7NEAR FT t CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME <br /> DATE PURGED START(2400 Hr) END (2400 Hr) <br /> DATE SAMPLED START(2400 Hr) END (2400 Hr) <br /> "rime, Ivb }1M1 E:C HTwrnul ft-: CCLOR WMIDITY <br /> a4w lid (1 •)- {distal (I,Mhoslm f ##tts0 Nma1) <br /> I <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(f a FB-1, XDUP-1) <br /> 2 Bladder Pump Baler(Teflone 2 Bladder Pump Baler fTelbrO) <br /> Centnfugal Pump Baler IPVQ DDL Sampler Baler IStarnless Steel) <br /> Submembis Pump Bader IStamless Dipper Submererble Pump <br /> Steel) <br /> Vat Truck <br /> Dedicated Bader Disposable CeZoated <br /> Other Other <br /> WATER COLUMN X 80-80%RECHARGE (TD 60%RECHARGE SAMPLE DEPTH <br /> REMARKS ! L� a u Cvr vp�i � ,4 <br /> t L0 0 L"I U AAS bLr� 1 � Pa�G� RU r � -� r'IY}m ��c�.?-�' 1 L� U)— <br /> COMPLETED BY (PRINT NAME) !" SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF <br />