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i <br /> Project No Protect onto Well Name Date time Imlaals <br /> Com-- 4 CQ CQ / --� �] i <br /> NEEMEM <br /> Well Depth(ft Sounded Depth ffL) 7-4, <br /> all T Time Ph Praha No Tarp Probe No Land Probe Iylo <br /> /'_ L/ Y M m Plan Wa11 <br /> Datamme ❑ SrmplinfPort <br /> DTW Ito /3 ❑ Other(dwdbe) t umbos <br /> 4 <br /> Well Oism (In I LHC Present? WC Thickness 3 <br /> Q Vas <br /> Initial 1401 of Water Iyrwllu sad owastaine 11-pllag Egaipweat <br /> Point et CaBeadaa Samples Taken Data <br /> In casing <br /> r•wall od a lntr D Q Biedder Pump O PE Hose ❑End at Seiler <br /> h.h1.of wmur adage to t .� <br /> val.d Oehgpl."h SIe,,., "'M ❑Bailor ❑ Other Da Iter Re rgerated?es Q No <br /> Volume(fal) ?A p1!M PVC Baler ❑ 112 In <br /> V 'catng u 0.163 0811 it. a 1114 in. Semple Calms Odor <br /> 'casing-0.367gel/ft O sin <br /> Votume inbe Evecanrd Ya casino=Q653 Dal 1 ft Sampling Pon No Sediment 1 Foreign l <br /> V casmy a 0.626 gftal 1 Matter <br /> © x3 Q X4 VM"casing=1 470 pal I h <br /> Ir 'clang=2.610 ga118 flume pek R.0 IOPmI Samp1 <br /> IrM'casrrlg■1080 gal l it Sequanca <br /> Haaartlar Samoa ID No volume Container Presaystkne Ana" Lab <br /> l <br /> 191101 <br /> Evacuated Evacuated Evaeusted <br /> d --5Sop Time <br /> Start lime <br /> Minutes <br /> Amt Evac'dgal fel 161 fel <br /> Total Evec'del <br /> Total Mimrtnmin <br /> Enc Nate <br /> Pumped Ory? After I0all Reoewtp Container P■Plastic Bottle R■Brawn Blass <br /> Q vas Q No Codas Y■VOA C•pear Gloss Other D ,q <br /> Thna DTw <br /> Depth o Wow During me <br /> Pumping(III <br /> Depth to water Recovery 3 <br /> for SM Reewmy Rata Igpm) 4 ��yFy9 <br /> Sampled After %Recovery at g ' FS lTis. <br /> Q 00%Rao. Q 2 hours Time of Sampling <br /> WESTERN GEOLOGIC RESOURCES,INC. 12191 � of <br /> 4 - <br />