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r <br /> A920W I=&9WA.ONQ SAMPLING INFORMATION SHEET <br /> NNW <br /> Client: A/ Project No: <br /> f <br /> Site: SAl, - L�R Well Designation: l <br /> Loo) 1 <br /> Purging Equipment: 7 2" Disposable bailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with d sposal bailer or other: <br /> Well recharged to 80% recovery. <br /> Well Diameter: 2" 3" 4" _� 6" _ 8" <br /> Purge Vol. Multiplier: 0.163 0.367 0.653 1.47 2.61 gal/ t. <br /> Depth of well: / Calculated purge: 1 3 <br /> G r Depth to water: S--/. 7:5 Actual purge: mac' <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> Start purge: j_cJ Sampling time: 9 zu Sampling Date: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: <br /> QC samples collected at this well: ,-f4t� Lock: 7r <br /> Equipment replaced: (Check all that apply) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks: <br /> Signature Review <br />