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A _ : Date <br /> 126MWERJUFlVZPAMIM"TRACY ` � � �" Setup time 12 /O <br /> GROI WATER wfl wG Weather cads #c—L- <br /> ILTS� 1bT 337. 1 Samplers cwt <br /> WELL # MW-5 <br />' HISTORIC CONCENTRATIONS <br />' Location Construction Depth 10'bgs <br /> Construction 2 itch pvc/ Depth to Packer I✓4 <br /> Groundwater Zone Pump Intake M de <br />' Screened Interval 5-10'bgs Measured Depth I(IA <br /> Purge Setting Discharge / Refill Depth to Water —1 -2;S'T6, <br /> Sample Setting Discharge Height of Water Column 2. ` <br /> Volume of one casing <br /> Packer Pressure N A <br />' Purge Start Tame Purge calculations <br /> Discharge Rate AV'q ;2 12 ft x 163 gals / ft x 3= <br /> Purge End Time !a,ro 1 33 gallons <br /> Time Gallons Temp a19 pH EC 5 Water clarity <br /> !2 v • S <br /> rt <br /> ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> 1 (3 Vol C, <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br /> 1 (DU- .4 s�. w�ft- '( 5c-L t �a- <br /> PID reading when well cap opened NIA Disposal method of purge waterer on S,k <br /> Dissolved Oxygen reading ,f,g Decontamination procedure Non Alconox-DI Rance <br />' Turbidity Measurement i✓fl <br /> Other nates _ / � 5 G� L <br /> Sampler Signature(s)- "vV <br />