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{ GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT NO JI�V� / 7 WELL ID <br /> CLIENT/STATION # ��D G�� 7 ADDRESS 50� (.r,, /,� �, ,�0c l// <br /> � <br /> DATE 2) <br /> CASING DIAMETER (Inches) / 2 1r 3 4 45 5 6 8 12 Other <br /> 4 <br /> GALLONS/LINEAR FOOT 0 17 038 066 083 1 02 1 5 26 5L/8Other <br /> TLI�001 —DTW 2° r ) X GALLONS.� , I X CASING e � CALCULATED / ACTUAL <br /> WATER UNEAR FT 1 CASING VOLUMES PURGE PURGE <br /> 7( <br /> COLUMN �V[OLU(M�E <br /> DATE PURGED ice`/' START(2400 Hr) 0 U l END(2400 Hr) <br /> DATE SAMPLED � [ '//I START(2400 Hro7, END(2400 Hr) 0 �� d <br /> ryq�perm�a`.�r•,. �o: e}vr.+�„L�wr� s}2�':2%m� �b�.,�,r .5,. `ysao��r�s?9'�ne 4�gjhor•wo-»*o-�`C�-Rm r <br /> "TURBIDITY <br /> tome# <br /> 20 O v«✓` <br /> 7 <br /> • FIELD OC SAMPLES COLLECTED AT THIS WELL(l a FB-1, XDUP-1) <br /> PLiR41Hf3EttwAiE�'t :j t,,., x ��l1MPI14Xi�4tt`IYr <br /> 2 Bladder Pump Bader(TefbnO 2 Bladder Pump Bader(TaflenOl <br /> Centrdugal Pump Bader(PVCI DOL Sampler Bader(Stainless Steel} <br /> Submersible Pump Bader(Stainless Dipper Submaralble Pump <br /> Stae1} <br /> Vac Truck <br /> Dedbated Beier Drsposabie Dedicated <br /> pthw -{ /Other <br /> WATER COLUMN X r30.90K RECHARGE-f' r 7D 8QX REGHAAGE(�3 SAMPLE DEPTH Cr�V r r <br /> REMARKS of ,�,rI <br /> COMPLETED BY (PRINT NAME)_ �_C� G'�r SIGNATUR 7 <br /> • REVIEWED BY DATE <br /> PAGE OF <br />