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' C—RCUNOWA i cR SAMPLING FORM <br /> :r <br /> `ZCELi..:iNFCRNtA.�:,C�>:... <br /> =GCJEC r NAME. b4nr1 0y /4_ -RCJE_ NUMEE:c: �9' NE-,! NC. � <br /> rECJEC i MANAGER: � i�__ CF WE'!'' `�`� MQnitaiing Extraction Other <br /> - tiL CA, s <br /> �cE�...:RCED SY: /y ,.AMFr__-� �Y: <br /> ' . <br /> .WEA..Ff [`cC� JC: ,fNFEtIA.t:1Ci�k 1 <br /> 'rURRG-E VCUUME PURGE ME7;—,C C <br /> Wei!Casing Olameter } <br /> �/ 2,ncn 4..;nes Cther S3ue., - Type <br /> -Pump _ Type <br /> Wes!-osat❑epttt °la,�3 fen Below Tao of Casing,TO Ctlier - Specify � <br /> n <br /> Cepsh to Wate' <br /> 12 ,SL few'aeiaw Ton of Casing,WL Hydroc3rnon Cdors: <br /> 4 Yes �'Va <br /> Water Caiumn Length 33, i r feet <br /> ii',jge Vaiume Caic=vion pate:Column Lwgth x mu,tipder x No.Va,umes = Ca1C,:.1izw Purge Vaiume)3 7, 1 1 3 = tl ! 3 Calculated?urge Volume vams <br /> (WCL; (Murmpiier) (No.Vaiumes) Aural Psrge Voiume - ns <br /> �sttlL`iteC::�'Gs;rta:':}i3mEieis>'f##7a::esl;�:iGalfott5elk]eaF;taot�:'_2--o=,-:f :::c=i2.F.a:,:_8:-1..°.;:,':g:. 2.�s.•.; -:>:- ... :..: >:: :.:'.:...: .. . ..:-:1 <br /> Grouncxaier?atameter Measuremem Me!�Type t`SI S�6 Cal,i,rated: Yes No <br /> 7,ME ELAPSE) pc!47l*T-. C W PH EC T TURSOf f FBF)CX C:MMEVTS <br /> �eg_c.J 94TU) mV l J <br /> 1 � i,ME � � (R) !},Y� <br /> it f -7711 I I ),pr C or__ <br /> I `1 11 Q -77A 1-7I I I <br /> 13 13 : 5-0 <br /> , 1 AHI ac to I � • 1SI v a � <br /> I I I I I I I I I <br /> I I I I I <br /> I 1 I I I I I I <br /> I I I I I �• ' I I � i <br /> 1 I I I I <br /> 1 I I I 1 I <br /> 1 I I I I I I I I I <br /> I I I I I I I <br /> I I I I I • ' I I I I i <br /> I I I I I• <br /> V=ASSOCIATES INC. <br /> ROOMCNMeff.41.aGM`SC 1rMGL AND MAMRL4u PRCFE%=JW <br />