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m <br /> - " Date -o1 <br /> r <br /> F0RWR1XM FAa=, , 7RACY '` Set up time 1 d O <br /> Weather <br /> ,UDN0TE9/M1XC 337f-70 m Samplers �G.J d+^x <br /> WELL # MW-2 <br />' HISTORIC CONCENTRATIONS <br /> Location Construction Depth 15' bgs <br /> Construction 2 inch pvc/ Depth to Packer NA- <br /> Groundwater Zone Pump Intake N-t <br /> Screened Interval 5-15'bgs Measured Depth /V." <br /> a <br /> Pur$ g g Setting Discharge / Refill Depth to Water -/..3o <br /> Sample Setting Discharge Height of Water Column S -� <br />' Volume of one casing <br /> Packer Pressure A..- - <br />' Purge Start Time /S6r Purge calculations <br /> Discharge Rate Nom*- S•'l ft x 163 gals / ft x 3= <br /> Purge End Time /.57 9 4,1-ZS gallons <br /> Time Gallons Temp.r'F pH E4;4�j Water clarity <br /> ! / ''B Ca --1 '7(11 [tat <br /> 1 S l Z_ 6' --A, -1 ,5 3G g %-\ �r <br /> (V13 3 .v 0t q <br /> (I`-f _'l r <br />' ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> 7Pl/-6 ! zZ <br /> C-J t/6 <br /> � 4- ADZ( <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br />' PID reading when well cap opened Nq Disposal method of purge waterjr. <br /> Dissolved Oxygen reading NA Decontamination procedure No /Alconox-DI Rinse <br /> Turbidity Measurement- A) <br /> Other notes <br /> Sampler Signature(s) <br />