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r rr r r r r� � r ■■r r � ; <br /> WATER SAMPLING DATA FORM <br /> ARTESIAN ENVIRONMENTAL CONSULTANTS,INC. <br /> Pro ect Name <br /> Project NO c11 Name Date [Time Name age of <br /> I r r- f (t t ,' �„ er r r r l✓v f�l' —C'? I - (i U)' 2 6 r 1 <br /> WellDeptb(ft) SoundedDepth(ft) We]ITYPe nitor Well Time pH Probe No TempProbeNo CondProbeNo <br /> � Mo �,/ ,✓ <br /> uigport <br /> DTW(R) DatwTim�Z l <br /> (3 Other(describe) I 1 ;S� 7 /s 7�•�f +�'�?J umhw <br /> 2 191 Z' f�.T9 - f�9 q 12 " ._ <br /> WdlDtam (ta) UICNeseatl 1HCTh kness 3 66 792 0 <br /> ❑Yea 13-No <br /> Initial HetgbtofWator Form ulas and Con wilon 3 Sampling Equipment PolalorCotlecllon Time Samples Taken Date <br /> m Castag(ft) r.Walt radu in ft ,s- <br /> k.lu drpercolumninft Dedlealed ❑DtadderPwnp ❑ PH Hoge ❑End ofllsder <br /> J vd of column" r'h System ❑Bailer ❑ Other Dcp1h to Water Refrigerated? <br /> 7e1p1If- PVCl3aHcr❑ I/2to ([t) ❑Yea ❑No <br /> Volume(Ss1} <br /> ❑ 1114m Sam IOdor <br /> V= "casing 0 163 gal/n Pe Color 1 C r s/ f <br /> V 'castnE3g a 0 367 gal 1 R 3 to + ' <br /> V3 <br /> to be Evacuatuf V3 "eosUtg=0 653 gal/It Sampling Port No Sediment/Poretgn <br /> Vol Vis "castng-0 826 Sol J ft Matter <br /> r� <br /> yJ a 3 ❑ s 4 Va "casing a 1 470 gal J h V011111119(SAI) stn(Spm) <br /> Vs 'casing=2 610 gal/ft. Sampling <br /> 23 6 Vje "eastrig=4 080 gal 1 ft. Sequence <br /> SamplelDNo Volume Time Nalervntive An-lysis 1-+b <br /> FvaeuatloaA 0111/1) _ <br /> Evacuated Evacuated Bvaewted Evacuated +7' — + CJ( rS 13! F- <br /> 14.z JS S6 <br /> Slop'("ime — S.5 t r t <br /> StareTtme <br /> Minutes qt - J6 C t r y J <br /> Amilvacuated Z gal ga gal gal <br /> Toul6vacusted Sol <br /> 1 dd Mrttules min <br /> I'vacuatlon Rate Sl'tn <br /> Pumped Dry? After(gal) Recovery Container P■PlasttcDottlo BaBrown Glass ml.mtllililer L-liter <br /> Codes V.VOA C■Clear Glass Other Describe <br /> []Yes EI No Time OR1V i <br /> Depth to WaterDurmg Time 1 J 5 /b173 p42 <br /> Pumping(R) 2 14 01 12"3 Nows grd„o e4v�" Odmt/ 1?D 0'r"1,YrL fPr t <br /> Depth,oWater Rwovery 3 <br /> for BOri Recovery Rate(gpn) <br /> ) d I <br /> Sawpled After %Recovery at 5 <br /> unpl <br /> C180%Rec ❑2hours TLMGofSmg <br /> 1 <br />