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1ISA Date 1/110i <br /> PORM R BEnvz r-AczLnYf=AC Setup time /613 7— <br /> ,GR 0 UIND <br /> ,GR0U;NT WATER SAMPLINt � Weather G�cA�fColal <br /> FMS)VOTES/E1n4 TNC, 3374.7a, Samplers <br /> WELL # MW-4 <br /> HISTORIC CONCENTRATIONS <br /> Location Construction Depth 10'bgs <br /> Construction 2 inch pvc/ Depth to Packer pJ R <br /> Groundwater Zone Pump Intake NA- <br /> Screened Interval 5-10'bgs Measured Depth <br /> Purge Setting Discharge / Refill Depth to Water (o l <br /> Sample Setting Discharge Height of Water Column 3 3`j <br /> Volume of one casing <br /> Packer Pressure wA <br />' Purge Start Time !S3 Z Pure calculations <br /> Discharge Rate IV A 3 3�_ ft x 163 gals / ft x 3 = <br /> Purge End Time 44 14 l to gallons <br /> Time Gallons Temp°F pH EC�s Water clarity <br /> A757 <br />' ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> "OpId got;"v �� (3) von tjowu_ <br /> 1 <br /> FIELD OBSERVATIONS(Weill condition,repairs needed) <br />' PID reading when well cap opened ,V 4 Disposal method of purge water yiw ,. vim, s; !� <br /> Dissolved Oxygen reading A) Decontamination procedure None Alconox-DI Rinse <br />' Turbidity Measurement IV 4 <br /> iOther notes <br /> r <br /> Sampler Signature(s) <br />