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Site Address / Site Number C <br /> 7feo n Project No , <br /> Project Manager Project PM <br /> Site Contact&Phone Number Site Sampled By �j Oft, Date Sampled _ _�f 7•v <br /> Water Level Data Purge Volume Calculations Sarnplln Analytes Sample Record <br /> Top of Total Casing Three Actual Other <br /> Depth to Screen Depth of Check if Water Well Multiplier Casing Water BTEX TPH-g MTBE Dissolved Sample <br /> Water Interval Well Purge Not Column Diameter Value Volumes Purged (13020) (0015M) (0020) _ Oxygen Fregency Sample Sample <br /> Well ID Time (feet) (feel) (feet) Required (A) (inches) (B) (gallons) (gallons) VOA VOA VOA ------ (mglL) (A,S.Q) t D Time <br /> .O( LJ 72- -Z 1:1 El El 6.7 <br /> El ❑ ❑ ❑ ❑ <br /> ElElE] El❑ <br /> El <br /> EJElEl ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ El El El <br /> ❑ 1:1El0 El <br /> ❑ 1:1 El <br /> El ❑ ❑ ❑ <br /> El ❑ El ElEl ❑ EJ El EJEl ❑ ❑ ❑ ❑ <br /> El 11 El 1:10 <br /> ❑ ❑ ❑ ❑ ❑ <br /> F-1 ❑ ❑ ❑ ❑ <br /> (A)Casing Water colurnn Depth to Bottom-Depth to Water (a)-Multiplier Values (2"Well 0 5) (4"Well 2 0) (G"Well 4 4) Sampling Sequence Annual <br /> Quarterly <br /> Sampling Notes List de lh of Sample on C 0 C I e MW 1 30 Make Sure to Note un C 0 C "Pruvide lowest Reporfing Linut Available" Original Copies of Field Sampling Sheets are Located irr Pru ect Fdu <br /> If the water level Is below the top of the screen take a grab sanple and check box for ND PURGE(Nl') If the water level is above lire screen,purge as normal <br /> TLA( Blank Sampling Sheels XLS) (Page 1 of 2) Last Printed 1/12101 <br />