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Site Addres IY �"��u Site Number& o <br /> City 5fiKk&4Project No UZ I 24Z <br /> Sampled By $f( 02% Project PM <br /> 100, Date Sample <br /> Site Contact Phone No <br /> Water Level Data Purge Volume Calculations Wall Pure Method Sample Record Field <br /> Total Casing Three Actual DTW Data <br /> Depth to Top of Depth of Water Well Multiplier Casing Water At Dissolved <br /> water Screen Well Column Diameter Value Volumes Purged No Sample Sample Sample Oxygen <br /> Well ID Time feet feet feet A inches B (gallons) (gallons PuMe Bailer Pum Other Time I D Time m /L <br /> mlv� 17%6 41"w 7 1i•1 Pak, { V3 k2 <br /> kft W 01gL H7.95 ivy <br /> j V10 vq 7 Ik$ti 72. 23,11 Z rS I`L X �! jaw lov <br /> W7 P90 0 ZZ 2- <br /> M51ft 0417 47*!;5 6 0 fS IvaG - M5 +� i <br /> qJL xtg2. y" b 1(? �{ 15 110 v <br /> 524 r0 ��Q� s$ x , " G W v no <br /> rr,Sx� ogcr rH b9204 z. 15" to X I Ag nz %4 <br /> 03 00 494 P0 5 r,.,6 w+0 <br /> Y05D V6o 117 Ifs a.6 <br /> -A 9 4 <br /> i <br /> (A)Casing water Column Multiplier Values <br /> Depth wtr Depth to Bottom 2"=0 5 4"=2 0 6"=4 4 Page 1 of$~ <br />