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3 <br /> dMIl�V�9�1��6.flL�. � SAMPLING INFORMATION SHEET <br /> Client: Project No: gZ�737 <br /> a <br /> Site: Z,ysJf3 j7). )J_=-77-L�M,4A1 ZA1, Well Designation. __ ?f,[J <br /> Purging Equipment: 2" Disposable baler <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with disposal bailer or other: <br /> Well recharged to 80% recovery. <br /> Well Diameter: 2" k,,,/ 3" 4" 6" 8" <br /> Purge Vol. Multiplier: 0.163 0.367 0.653 1.47 2.61 gal/ft. <br /> Depth of well: 1 %2 S Calculated purge: <br /> Depth to water: /! Actual purge: <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date inrtmai reading <br /> Time Adjusted reading <br /> Start purge: Sampling time- Sampling Date: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: <br /> QC samples collected at this well: Lock: <br /> Equipment replaced: (Check all that apply) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks: <br /> Signature G Review fi•_- <br />