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1EHYMMMBffn4 G.NQ SAMPLING INFORMATION SHEET <br /> Client: it 'r_ S-r r + � Project No: <br /> Site: Well Designation: <br /> Purging Equipment: 2" Disposable bailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with dis_posai bailer ,or other: <br /> Well recharged to 80% recovery. f <br /> Well Diameter: 2" 3" 4" %�L 6" all <br /> Purge Vol. Multiplier: 0.163 0.367 0.653 1.47 2.61 gal/ft. <br /> Depth of well: . 4 � Calculated purge: <br /> Depth to water: Actual purge: <br /> tart purge: f A Sampling time: ,'� � Sampling Date: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: <br /> QC samples collected at this well: lock: <br /> Remarks: ,c�L '�I �, t�� t_ t► �'CLs <br /> Signature Review <br />