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y w $ 01f tf$r 3041s l }ydlE § z{ <br /> Site Address: 5• Site Nilmber: Iv •� �✓� <br /> + n�ENVif�ONMENTAC,+ INC ,F x tsr ! <br /> 1A PfOJBCt NO. <br /> Sampled�By e (Lk- Project PM <br /> wrt 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 dNo SampleSample Sample Oxygen <br /> Well ID Time feet feet feet .(A) (inches) (B) (gallons) (gallons) ailer Pump Other Time I.D. Time (mg/L) <br /> W, 100 top r Kalp— <br /> v <br />. - d�7 X39' �- W -�.... 7` '� �4 ,. t �►� olliM,( L4�!i <br /> w 4 044 '�.� G 5" Jew 4 r� <br /> LI <br /> I)ftw7 5" <br /> 9 <br /> yI.-1 0'y* t N 3 As •l �t - <br /> L( 171,04 03 �s► � 4 <br /> i br. ��i �Rl y•g� 4 �[ �1 VIV c�G <br /> VIP <br /> } v�7 0517 Ii-LM ,� •zz +� <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 />