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1 - <br /> Date <br /> s <br /> Set up time <br /> Weather L' (-ec,v- /C <br /> Samplers y,�"M >S 1Y <br /> WELL # MW-3 <br />' HISTORIC CONCENTRATIONS <br /> Location Construction Depth 10'bgs <br />' Construction 2 inch pvc/ Depth to Packer a/f1 <br /> Groundwater Zone Pump Intake N A <br /> Screened Interval 5-10'bgs Measured Depth 4//1 <br /> Purge Setting Discharge / Refill Depth to Water y <br /> Sample Setting Discharge Height of Water Column P � <br />' Volume of one casing 0--5-b;-2 a�� <br /> Packer Pressure NA <br /> Purge Start Time U Purge calculations <br />' Discharge Rate AIA 3-36 ft x 163 gals / ft x 3= <br /> Purge End Time 0 gallons <br />' Time Gallons Temp°r' pH ECS ,,,, Water clarity <br /> D � w -r r <br /> • CTf 12 Z i � <br /> - � • S .� ` � <br /> ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> eo 57-,41 <br /> t T-k-A 002-0 <br /> t <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br />' PID reading when well cap opened At fi Disposal method of purge water "Vt(`L4 xAlmed 9301 4e <br /> I <br /> Dissolved Oxygen reading 4/4 Decontamination procedure None/Alconox-DI Rinse <br /> Turbidity Measurement JV4 <br /> Other notes <br /> 1 <br /> SaMpler Signature(s) iq <br /> I vv - <br />