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Dela <br /> SAMPLING INFORMATION SHEET <br /> Consultants,Inc. <br /> i <br /> Well No. MO-3 MO-3Project Name Client D ?"-6L'7 <br /> Location(address)2Vb WsL 41tkr �Y�, i <br /> Date Sampled Z / f <br /> Wel!Depth 5`f-I(p ft below top of casing Casing diame er 2. inches <br /> DTW(below top of casing) y4- ft. Time: i2. C> <br /> ATP ft. <br /> Purging Method:❑ Submersible pump SBailer❑Centrifugal pump❑Other <br /> Sampling Method: Disposable bailer❑Sampling port Samples collected <br /> GROUND WATER EVACUATIO /STABILIZATION DATA <br /> Cumulative Volume of Water <br /> Conductance DTW Removed From Well <br /> Time Tem erature° H unitsumnos/c earest 0.0E ft (gallons) <br /> 1z:ta Z3: � tp.L� 1Q�S <br /> �3 alt <br /> j2 i b off!- (o -� INC <br /> o 4 3-a <br /> Comments: t 41 �-ai J 7 ('. ,z{ <br /> Transportation(thermal preservation) fced /A1 l l e v <br /> .moi y <br /> Form Completed Sampled By <br />