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Si(e AJJress:IGI �Irpgd„'Ir� Site Nulrlber: /V ! V L(� <br /> plojed pm: <br /> Sile Cuolact&Plwne Number: Site Sampled By. <br /> r Dale Sampled;, <br /> _ <br /> L� Wafer Level Data Purge Voiurrte Caicuia(io+is <br /> Sam iAlFlttaiyles Sample Record <br /> 7gpuf lutal Casil�g Thee Actual Other PTw ! <br /> Dept"l to Screen De(tlh ur Check if Waler Well Multiplier Casing Water 13TEX Thl-t-g IYi'l BL- _ DissulveJ .13enfp!m <br /> Water Interval Well Put go Nol Column biaoleter Value Volumes Purged (8020) (11U15M) (S1U20) Oxygen eet�flC� Sample Sample <br /> WBIIIL7 Time lee! ( ) (Niches) (D) (9 ) (9" ) <br /> _ ( ) (feel} (feel) Required A Inches alluos allons VOA VOA VUA (rrtylL) {iLr�B tTf' 1.D. Fiore <br /> w• 1 - �� y 940•x.. 7 ❑ �y. , - ❑ ❑ 0 -2�.y N 7 ❑ ❑ •�- 1'7•�1 mow- <br /> 151-TIO/ I Cl ,d •� ❑ <br /> Y4 �7,�2 u>. ti 3 ❑ 3 -'�- _ J 1° ❑ CI ❑ _y+ l 7•G� 2X75 <br /> �7 ❑ � ❑ 2• 7, �� <br /> EJ �5 <br /> Ybw "cam 2�►7L u K U 3 3yr�{ "�� G ❑ J ❑ ❑ •�v 2�. !H�'� rJ <br /> •(/ ~z$ .2G.27- �}r� ❑ i•7 Z, ��! _�- U - ❑ _L J Cf 7 271 x. <br /> EJ _ 0 El <br /> Irw <br /> Y+�•L{ �r7 �.y _ — ❑ El —0 ❑ raw• - 735 <br /> VW <br /> 0 EJ El <br /> I�I ❑ _ ❑ [J CJ. <br /> L1 - ❑ ❑ 0 U <br /> L1 CJ CJ 1=1 ❑ <br /> ❑ - ❑ ❑ Ej ❑ <br /> �- ❑ ❑ Q Q El <br /> 171 Ej <br /> U ❑ CJ _❑ ❑ <br /> (!1)-Gasrny Walar'CvEuuuc- pepllr lu nultum-Depth lu water (D)-Mulripliur values: (2"Well:0.6) (4"Well:2.0) (G"Well:d.4) Sanq�liny sequenca. Arurual: " <br /> Quarterly: <br /> Saorpliny Notes List depth of Sant ale un C.O.C. 4e-MW-l JO . Make Sure to Note un C.t7,C."provide Luwes(Re pus Lis ig Lin;jt Available.- Ori irlal Cu Bios of Fleld Sem))in SIIE13(s ai13 Luraled in r'rdect 1-No <br /> If the water level is below the lop of 111e screen,take a grab sump+a anJ check box Nx NO PUROU(NP), if the water level is above(1113 screen,pur'ye as normal. <br /> TLA(, Dunk Sarnhling Sheels_KLS) (Page I of 2) <br /> Last 1'rinfeJ: 1/11lU I <br />