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Gk' <br /> WATER SAMPLING DATA Well Name i1 -Z DateTime <br /> Job tame ,J Job- er NumbLlp �.1 ni.tials, fir`- .• <br /> WELL DATA: hell type (t4-monitoring Heli; Describe,,,.., <br /> Depth to Eater f8. ft. ` <br /> Well Depth t. (spec.) Sounded Depth Y�`.i' !t <br /> Well Diameter --'iL in. Date <br /> r. <br /> EVACUATION: Sampling Equipment: <br /> PVC Bailer: in. Dedicated: Bladder Pump ' ;Bailer <br /> Sanpl ing Port:t;umber Rate gpm. Volume gal. <br /> Other <br /> Initia Height Of Water in Casing Itt; Volume gal. <br /> Z <br /> Volume To ge Evacuated e 2-5.5 _' gay. initial volume x3 x422 <br /> ) <br /> traatn Lusa,,i Evacuated r V .�eTI 7 lHi ;Wife <br /> Time: Stop i 1 r 3�� h - of ►tttr col in f: <br /> Start 1 -- - - -vol o: col.-r.r'h <br /> fll — L�-��4 7.48 gtl/f: <br /> Total minutes __ _ - j r ti,• ctsirp - DAE3 gaI/ft <br /> Amount. Evacuated 2G q�:is� puce <br /> Total Evacuated 2-� gad'" -" ►r' cesing - D:Esa Qti/ts <br /> Evacuation Rate , , gpm. :V,`'ctsinc • I,47 ccttl/ft t <br /> • , Y,' aline - LEI esl/ft <br /> Depth to water during pumpi 9 IM-ft. LUN time <br /> Pumped dry? -�AfaD-• A.ter ��gal. Recovery rade~ <br /> Depth to water or 80: recove —^' ft. <br /> ('CHEMICAL DATA: Temp. Probe n -� Ph :robe r Cond.Probe <br /> Time I LC umhos <br /> SAMPLING: Poi!•it of collection: PE Hese , End of bailer ;'Other <br /> Samples taken 1' time Depth to Nater !R__—:_,_SZ ft. Refrigerated: qeS <br /> Sample description: dater color r kgr Odor <br /> Sediment/Foreign matter --------- <br /> Sample -Container Prdservative Analysis • Lab <br /> ID no. (DA / other NaHSO,/Azide/other 1 <br /> a LibmiC t __ Sfsi led�Iflr� <br /> 77— <br /> 'Tl =r. <br /> Container codes: P - plastic bottle; C or B clear/brown glass:j%Describe <br /> COMMENTS• <br /> I lip <br /> �r <br />