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GRO� <br /> MONITORING WELL SAMPLING INFORMATION SHEET <br /> Client: 7-0152 Project No: gA'47- lQtH <br /> Site: Well Designation: rrnw- 2 <br /> T-O <br /> Is Setup of traffic control devices required? YES Setup &Takedown tsne: hours <br /> Is there standing water m well box? N YES (Above TOC Below TOC <br /> Is Top of Casmg cut level? NO ( If NO piesse explain in remarks) _ <br /> is well cep sealed and locked? NO MY ( If NO please explain in remarks) <br /> Height of Well Casmg Riser ( in inches) <br /> General condition of Wellhead assembly Excellent Good #_aar .�-,50ocr (Uolain in rernerks) <br /> Purging Equipment: 2" Disposable bailer Submersible pump <br /> 2" PVC bailer f Dedicated bailer <br /> 4" PVC bailer <br /> Sampled with: Disposal bailer. Teflon Bailer. <br /> Well Diameter: 2" 3" 4" 6" 8" <br /> Purge Vol. Multiplier: 0.163 0.367 0.653 147 2.61 galift <br /> 4 <br /> Initial Meastsrmerit _Recharge Measurrmgn <br /> Time: \,0 \ F, Time: Calculated purge: <br /> Depth of well: 5�!-CS Depth to water. Actual purge: <br /> Depth to water: -4 P C <br /> er Calibration Temp. E.C. pH Turbiditv <br /> Ogle Initial reading <br /> Time. Adjusted reading <br /> Startpurge: )Z:qSampling time: S Sampling Date:, -1(:, --C� <br /> Time Temp (°F) E.C. pH -Turbidity Oz(ppm) Volume (Gal.) <br /> 03 1 53ns -7 4- <br /> 5q 6 I S S Sates S� <br /> I3 t_3 5 141IS <br /> Sample appearance: <br /> QC samples collected at this well: Lock: <br /> EMENNEw <br /> Equipment replaced: (Check all that apply) Note condmon of replaced Item. <br /> 2" Locking Cap: Lock #2357: , Lock #0909: <br /> 4" Locking Cap: ' Lock #3753: 1— Lock-Dolphin: II <br /> Remarks: <br /> Vow <br /> Signature ,,,,,� Review <br />