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Site Address: 1� k/, �, <br /> Site Number: <br /> Project No_:AWZ- Z7&:J`-,601 <br /> Project Manager: Project PM: �• <br /> i Site Contact&Phone Nurnber; Site Sampled BY: /t[. <br /> _ Date 811pled: +z7'rt� <br /> Water t_evel Data Purge! Volurrle Call;Illatiaris Samlin Analytes P Sample Record <br /> Top of Total Casing Three Actual <br /> Depth to Screen Depth of Check if Water Well Multiplier Casing Water BTEX TPH- MTBE 0lher <br /> Water Interval Well Purge No[ Column Diameler Value Volumes Pur ed g ----- Dissolved Sample <br /> Wbli ID Time (lest) fleet) (feel) lie aired p, 9 (8020) (6015M) (8020) Oxygen Fre enc Sample Sample <br /> f ) q ( } (Inches) (8) (gallons) (gatlorts) VOA VOA VOA (mglL) (A,S,Q) LID. Time <br /> tW 1 �. , ❑ ❑ ❑ ❑ ------ <br /> ❑ Jihr�! 670 <br /> ynw2 y y3�M ❑ ��L � ❑ ❑5 El <br /> �`"� i ��z b723 <br /> wy 3A?l ❑ <br /> tory IVA01 <br /> $D ❑ ,� Z ❑ ❑ ❑ ❑ � ysw3 !�, <br /> f, <br /> 11 El El El *,,,*7 1 v5 <br /> -7 AJ ❑ 17 71 --- ❑ ❑ <br /> 04 ❑ ❑ <br /> �w ry bH� Cs 7 El3,�y 2 ❑ El ,3 <br /> y g <br /> 4 ❑ �. z ❑ 01 ❑ ❑ 6 9 <br /> 2 El El <br /> Y ❑ El El El <br /> ❑ ❑ El El ❑ <br /> El ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑. <br /> ❑ El <br /> ❑ ❑ ❑ ❑ <br /> EJ <br /> ❑ ❑ ❑ ❑ ❑ <br /> El ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> (A)-Gasrrtg Wafer Column: peplh to t3oltvtn ❑ Ell-Depth to Water (B)-Multiplier Values; (2'Werr:0.5) (4"Wll <br /> e :2.0) (G"Well:4.4 <br />� ) Sampling Sequence; Annual: <br /> Sampling Notes: <br /> List depth of Sample on C.O.C.fl.e.MW-1 30 . Make Sure lv Note on C.O.C."provide Lowes(Reparting Limit Available." Quarterly: <br /> If the water level is below the top of the screen,take a grab sample and check box for NO PURGE(fdp). If the water{eve(is above lice screen,purge as norn normal.Copies of Field Sampling Sheets are Located in Prdec3 File <br /> ti3�'1�1 _ <br /> TLA(. Blank Sampling Sheets.XLS) �j,/r W <br /> �v (Page 1 of 2) <br /> I Last Printed: 1112101 <br />