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0 <br /> ® ARM R@VMx)NM0ffA4 ONQ SAMPLING INFORMATION SHEET <br /> Client: j�-[.pJ�j Project No: Z-73y <br /> Site: Z-!1,YF3 u). kEragmhv Ix, Well Designation: <br /> Purging Equipment:,— 2" Disposabie bailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled wMAisposal bailer or other- <br /> Well recharged to 80% recovery. <br /> Well Diameter: 2" — 3" 4" 6w 8" _ <br /> Purge Vol. Multiplier: 0.163 0.367 0.653 1.47 2.61 gal/ft. <br /> Depth of well: S Calculated purge: <br /> • X02 Depth to water: Sl 9 Actual purge: a r <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> Start purge: G Sampling time: JG / Sampling Date:�/ <br /> Time Temp. E.C. pH Turbidity Volume <br /> S'3 <br /> Sample appearance: E,,,tiy e r0,y _ <br /> QC samples collected at this well: /Z'v Lock:32 f3 <br /> Equipment replaced: (Check all that apply) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks: <br /> Signature Review <br />