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�Rey <br /> ✓I'qi�� itF k ^�i P c Site Number Z <br /> Site Address 1J�.�-"''�'"—" <br /> Project Manager Pi oleo�o <br /> Sampled BItIfILc. Project PM Awe <br /> O <br /> 1 u Date Sampled Wle .� <br /> Site Contact Phone No <br /> Water Level Data Purge Volume Calculations Well #'urge 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 /> Well ID Time feet feet feet J (A) (inches) (B) (gallons) (gallons) Purge Bailer Pump Other Time 10 Time (mg/L) <br /> MtJ�Z. vZ 72- 3�. c�[ _ '� tI Ln s44 <br /> uct $ ( 73i 3141 _ +z <br /> W-4 03 Z 7y 35.7 -71 p y 77 <br /> w� o -71 0.3$ L( x 0 I.0-_ <br /> rMcs,-G z lIT.o -t 2 LL ✓ r, cr. <br /> Old 72 <br /> i <br /> (A)Casing water Column Multiplier Values <br /> Depth wlr Depth to Bottom 2"=Q 5 4"=2 0 6"=4 4 Page 9 of 2 <br />