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z5w 1444 ' ! 'cd <br /> Site Address: if+ Loa,/n 1 Site Number: Y✓�/ (/� <br /> Project No,:7 vv vra a1 <br /> Project Manager: Project PM: d <br /> Site Contact&Phone Number: Site Sampled By: 0411-L—— Date Sampled. <br /> Water Level Data urge Volume Calculations Sam ling Anal tes Sample Record <br /> Top of Total Casing Three Actual Other <br /> Depth t6 Screen Depth of Check if Water Well Multiplier Casing Water BTEX TPN-g MTBE Dissolved Sample <br /> Water interval Well Purge Not Column Oiameter Value Volumes Purged (8020) (8015M) (8020) _ Oxygen Freqency Sample Sample <br /> Well ID Time (feet) (feet) (feet) Required (A) (inches) (B) (gallons) (gallons) VOA VOA VOA _ _ (mg/L) (A,S,Q) 1.D. Time <br /> ZV F-1 <br /> w � ❑ L. el . ❑ ❑ ❑ ❑ li-3 z 73 <br /> Mw <br /> ❑ M- -Z __77 ❑ ❑ ❑ El p <br /> P)WI ` <br /> K40dot 3�6 ❑ v. 3 �✓ ❑ El ❑ 1 ry3 <br /> w n�1 •� F17 ❑ ❑ ❑ ❑ i .9 Mw <br /> hr �3 . 3 �[ 7 ❑ <br /> 7- <br /> - 1&7 <br /> ❑ ❑ ❑ ❑ o� <br /> wtD z�' �:r� J17 EJ___ z ❑ ❑ 04.,3 <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ - <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> r7m ❑ ❑ ❑ ❑ <br /> (A)-Casing Water Column: Depth to Bottom-Depth to Water (B)-Multiplier Values: (2"Well:0.5) (4"Well:2.0) (6"Well:4.4) Sampling Sequence; Annual: <br /> Quarterly: <br /> Sampling Notes: list de th of Sample on C.O.C.1I.e.MW-1(30)1. Make Sure to Note on C.O.C."Provide Lowest Reporting Limit Available." Original D?pies of Field Sarnpling Sheets are Located in Project File <br /> If the water level is below the lop of the screen,take a grab sample and check box fur NO PURGE(NP). If the water level is above the screen,purge as normal. <br /> TLA(, Blank Sampling Sheets.XLS) (Page 1 of 2) Last Printed; 1112101 <br />