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GROUNDWATER SAMPLE FIELD DATA SHEET <br /> ,PROJECT NO �QC�6 ! WELL ID I <br /> CLIENT/STATION ADDRESS jy �(� Q l{ ld /o ell <br /> DATE ld ; 9 <br /> CASING DIAMETER (Inches) 3 4 45 5 6 8 12 Other <br /> (ORCLE Crr4 <br /> GALLONS/LINEAR FOOT 17 038 066 083 102 15 26 58 Other <br /> TD __DTW a� + — X GALLONS. X CASING CALCULATED / ACTUAL_ ;— <br /> WATER LINEAR FF 1 CASING VOLUMES PURGE PURGE <br /> COLUMN VOLUME / <br /> DATE PURGED START(2400 Hr) �,s S y END (2400 Hr) (� <br /> DATE SAMPLED START(2400 Hr) qs END (2400 Hr) G S 6 <br /> aT <br /> 4 `y v � ��� t�T"�C ���`� A, ��6Y`�a��v'h i}1#)�Q11✓1�S;t} <br /> !� ��+ � Hr fiVh ssV- }J i/Yr 1 p q y✓�'=�/n �}�,, <br /> �Y <br /> '+ <br /> 71 <br /> v H o 7, a, �/y a/, 3 ✓.�w c/� <br /> • FIELD OC SAMPLES COLLECTED AT THIS WELL(t a F13-1, XDUP-1) <br /> ^ <br /> '-Mr-mHay 'F+ <br /> 2 Btaddar Pump Bader(Tafbn® 2'Bladder Pump Bader(TefbnO) <br /> Centatugal Pump Bader{PVC) DOL Sampler Bader(Slamlees SteeQ <br /> l/ Submersible Pump Bader(Stemless Dipper Submerwbb Pump <br /> ]� steel) <br /> Vac Truck <br /> Ded&caled x'— Saler thapoaable Dedicated <br /> Other �Dd'mr, <br /> WATER COLUMN L± X 80.BOX RECHARG (TO 80%RECHARGE.{L/� SAMPLE DEPTH G VI/ <br /> REMARKS <br /> COMPLETED BY (PRINT NAME) �C � U� � SIGNATURE <br /> REVIEWED BY DATE <br /> PAGE OF <br />