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,4 F.'f <br /> 5T ' µ ;GS <br /> a4s{"K�'F �i fTs'"r h* f1 rV��'7..� <br /> AE t n ,r 1 �('�� ►'1.�Csa Site Number C O. r-4,103 <br /> N�/1�ONMENiX, 1NC 4� 1;"." _ ') site Ad ss I <br /> f -- City t7 t CL4oJ Protect No <br /> Sampled Byi (e-G! Protect PM <br /> Date Sampled <br /> Site Contact Phone No <br /> Water Level Data Purge Volume Calculations Well Purge 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) Purge Bailer Pump Other Time I D Time (mg.//L) <br /> t.1• S <br /> a 7� <br /> I <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 2 <br />