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f 4-M <br /> SAMPLING INFORMATION SHEET <br /> Client: Protect No: q,;_ .!:2:f <br /> Site: Well Designation: t..-,,, �-- <br /> i <br /> Purging Equipment: 2' PVC bailer N. Submersible pump <br /> a <br /> 4- ' "f '`,Iz ler Dedicated bailer <br /> Sampled with disposal bailer or other: _ <br /> Well recharged to 80% recovery <br /> Well Diameter: 2- 3" 4." 6" $„ <br /> Purge Vol. Multiplier: 0.163 0.367 0.653 1.47 2.61 gai/ft. <br /> Depth of well: -7s- -u Calculated purge: K <br /> Depth to water: 2 1 Actual purge: =ice, <br /> Start purge: Sampling time: _ Sampling Date: <br /> 'FPien® Temp. E.C. PH Turbidity Volume <br /> Sample appearance. 1 <br /> r- I <br /> CC samples collected at this well: <br /> Remarks: <br /> Jnature /' Review � <br />