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1 <br /> Date <br /> Set up time ero <br /> Weather C l��•^�� �y� <br /> m <br /> Samplers ��A4 b S Q; <br /> WELL # MW-4 <br />' HISTORIC CONCENTRATIONS <br /> Location Construction Depth 10'bgs <br />' Construction 2 inch pvc/ Depth to Packer 44 <br /> Groundwater Zone Pump Intake N'A <br /> Screened Interval 5-10'bgs Measured Depth A1,4 <br /> Purge Setting Discharge / Refill Depth to Water <br /> Sample Setting Discharge �V)j Height of Water Column 3 �/ 3 <br /> Volume of one casing <br /> Packer Pressure 41, <br /> Purge Start Tune / I()9, Purge calculations <br />' Discharge Rate A/k �'' � ft x 163 gals / ft x 3= <br /> Purge End Time (J 1 gallons <br /> Time Gallons Temp°r pH ECS iw Water cl ty <br /> to 5-- ! • 1 1q.66 <br /> /1p6 11 <br /> ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br />' PID reading when well cap opened N A Disposal method of purge water •4441"e On �.-('e <br /> Dissolved Oxygen reading N 4 Decontamination procedure None/Alconox-DI Rinse <br /> Turbidity Measurement Aj It <br /> Other notes f jap lr't-J <br />' Sampler Signature(s) <br />