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r� qr r wbr m4r � <br /> WATER SAMPLING DATA FORM ARTESIAN ENVIRONMENTAL CONSULTANTS, INC <br /> Profecl Name Project No ell Name Date Time Name ragerM <br /> of <br /> Well Depth(ft) Sounded Depth(fl} tr fWet1TYPe Monitor Wel] Time pH Probe No TempProbeNo CondProbe No <br /> r r 'I p Samplu gPon <br /> MW(ft) Datdl tine ❑ <br /> ❑ Other(describe) 1g.xo 7z 5 – 10 D trmhos <br /> Well Dram(in LHCPresont7 LHCThickness 3 r SS �_ �� fi �R <br /> ZCl Yes ❑No ^tom <br /> Initial Height orwaler FormulaaandConvtrslons Sampling Equipment Polnto(colitttion Time Samples Takeo Date <br /> in Caning(n) r.rill radius Ia rt <br /> h.ht of vstortolumnut4 Ndicated OBladderputnp ❑ PEHose �RndofBailor fa q0 rot otcolumn. Oh System 13 Bailor ❑ Other Depth to Water Refrigerated? <br /> Volume(PI) 149 eat!fti PVC Boller❑ In in (n) ?Z 16 Yet []No <br /> Vt "casing-0 161 gal/fl [11 1141n Sample Color Odor <br /> F5 Vl "casing=0 767 gal 1 fl C1 3 In <br /> Volume to be Evacuated V, "casing=0 657 gal 1 fl Sampling Port No Sod unent/Foreign <br /> 10 Va.r casing=0 826 gal I ft <br /> a 3 ❑ a 4 V casing= 1 470 gal/ft Metter <br /> V: Volume(gal) Rete(Bpm) <br /> Vr casing=2 610 gal I ft <br /> Sampling <br /> p Sam bn <br /> Vto casing 4 080 gal 1 ft Sequence <br /> Evacuation SampleIDNo Volume Time Nedervative Analysis Lab <br /> (mllL) <br /> Evacuated Evocualed Evacuated Evacuated 3AQ <br /> SIOPTIme <br /> SiartTrme ? <br /> Minutes <br /> AmlBvacualed g-d gal gal get <br /> Total Evacuated gal <br /> Total Minutes min <br /> l?vacustion Rate glnn <br /> Pumpod Dry? After(gal) Recovery Container P=Plastic Bottle B=Brown Glass ml-milhhter L bier <br /> ❑Yea �fl No Codes V=VOA C=clear Glass Other Describe <br /> Time DTW <br /> Depth to Water During 'r rine n <br /> Pumpusg(n) t ��- <br /> 2 32 7F1 Nates <br /> Depth to Water Recoveryy 3 <br /> for 80%Recovery Rate(Spm) <br /> _) 10 4 <br /> SarnpledAne %Recovery at 5 <br /> []80%Rec ❑2 hours Time of Sampling r <br /> � r� <br />