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1 <br /> Delta <br /> //A Enuirontnental SAA IPLING INF'ORAIATION SII <br /> . Consultants„Inc. <br /> Well No.M(-M( -L?-- Project Name (E+']b� <br /> Client <br /> Location(address) �{�{$ C&V <br /> Date Sampled-LO—/-k_/ b S' , <br /> Well Depth � Cf s ft below top of casing Casing diameter C <br /> incites <br /> DTW(below top of casing) ft. Time: <br /> DTP ft. <br /> Purging Method:❑Submersible pump VNailer❑Centrifugal pump[]Other <br /> SampIir:g Method. Disposable bailer❑Sampling port Samples collected <br /> GROUND WATER EVACUATION/STABILIZATION DATA <br /> Cumulative Volume of Water <br /> Time Tem eratur Conductance DTW Removed From Well <br /> H units umnos/cm (Nearest 0.0I ft <br /> Ions) <br /> 1:ua Ol.S` -�3 <br /> l ;y3 t,S 9. G I <br /> IS <br /> comments: . � <br /> rix � � ��S .a• ---� o. -i <br /> Transportation(thertnal preservation) s C <br /> • Form Completed By I r\. Sampled By <br />