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J1"gT- < Date t/Rlm! <br /> FORMER HEINZ MCILM,TRACY e e b � Set a time <br /> ��� � p t3ix <br /> GROLOMWATER StIMPE190 _ A Weather [bwty l ah.t <br /> FMDaE?��jERMINC _'J4_7t� Samplers fC.�•J pwti <br /> WELL # MW-3 <br />' HISTORIC CONCENTRATIONS <br /> Location , Construction Depth 10'bgs <br /> Construction 2 inch pvc/ Depth to Packer A/-- <br /> Groundwater Zone Pump Intake A44- <br /> Screened Interval 5-10'bgs Measured Depth 4/4- <br />' <br /> Purge Setting Discharge Refill Depth to Water Co 9 <br /> g g / p `{/ <br /> Sample Setting Discharge Height of Water Column -S <br /> Volume of one casing O 41 o <br /> Packer Pressure �v,4 <br />' Purge Start Time 13 I Purge calculations r <br /> Discharge Rate A,-4 3 0& ft x 163 gals / ft x 3= <br /> Purge End Time 1SIM --LY 9 gallons <br /> Time Gallons Temp pH E C_A.,I, Water clarity <br /> /3/(. . s 76 ss-� <br /> 13 ZO 'Z S Z <br /> t3Zl !•So _ C. 7sr <br /> iANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> 1f f(g VOLS7 A �3Z 3 <br /> (3) v oma. �- <br /> �-r-�,� <br /> FIELD OBSERVATIONS(Well condition,repairs needed) I <br />' PID reading when well cap opened A- Disposal method of purge water �jw-i.��l-� <br /> Dissolved Oxygen reading 41,f Decontamination procedure Non Alconox-DI Rinse <br />' Turbidity Measurement W4- <br /> Other notes <br /> Sampler Signature(s) <br />