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1 <br /> Date /— &0 <br /> Set up time O Y V 7 <br /> r Weather C I-e_<<,., r "t-i <br /> Samplers _D&M <br /> 1 <br /> WELL # MW-5 <br />' HISTORIC CONCENTRATIONS <br /> Location Construction Depth 10'bgs <br />' Construction 2 inch pvc/ Depth to Packer <br /> Groundwater Zone Pump Intake AVa9 <br /> Screened Interval 5-10' bgs Measured Depth ,vA <br /> Purge Setting Discharge / Refill Depth to Water T/Y <br /> Sample Setting Discharge Height of Water Column 275' y <br /> 1 Volume of one casing (7. Ll( 5,-(S <br /> Packer Pressure v <br /> Purge Start Time b 9 7, � Purge calculations <br />' Discharge Rate At A 5 ft x 163 gals / ft x 3= <br /> Purge End Time ( L 3 ? gallons <br /> Time Gallons Temp o f pH EC4j Water clarity <br /> L)S15- C) S' , 7 KGS `33 �. <br /> Lf, �, q z <br /> r �-y Y <br /> 1 <br /> ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> FIELD OBSERVATIONS(Weil condition, repairs needed) <br /> 1 <br />' Disposal method of purge water Tui�t�` VIA „t <br /> PID reading when well cap openedom <br /> Dissolved Oxygen reading NA Decontamination procedure None/Alconox-DI Rinse <br /> Turbidity Measurement N <br /> Other notes <br /> Sampler Signature(s) �� <br /> 1 <br />