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SAMPLING INFORMATION SHEET <br /> Client: # Project No:- 9Z-73Y <br /> Site: A f Well Designation. f,[)—,;:7 <br /> Purging Equipment: 2" Disposable bailer <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" _ 3" 4" _ 6" 8" _ <br /> Purge Vol. Multiplier: 0.163 0.367 0.653 1.47 2.61 gal/ft. <br /> Depth of well: Calculated purge: <br /> Depth to water, Actual purge:~` <br /> Meter Calibration Temp E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> Start purge: Sampling time: Sampling Date- <br /> Time TempcN 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• �lG Si9rti /E" <br /> Signature Review <br />