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"WATER=QUALITY�S%AM <br /> FORIVIi4T14N ° _ zr f�-}# <br /> t L y Y•F.M�.to `'� 'zl t <br /> ti !1 <br /> PROJECT 110_ <br /> PRO.IECT NANi � r ° <br /> a ��� <br /> } I!9 V r NUMBER �LSAMPLE <br /> DATE x ' <br /> rr <br /> , <br /> - ' € <br />' SAMPLERS 1NAME <br /> SAMPL I NC LOGIC I ON <br /> 1_ r <br /> SAMPLING METHOD S`J V 1 V.-- -- <br />' ANALY$ES' REQUESTED <br /> NUMBER AND TYPES OF SAMPLE BOTTLES USED _�.31 L�- 3`l v <br /> • s � <br />' METHOD OF SH!PMENT <br /> SURP� <br />' <br /> GROUND FACE WATER <br /> WELL <br /> WATER ` } <br /> WELL NO. ` 1 STREAM WIDTH b <br /> WELL DIAMETER (IN.) �-[; ----WELL DEPTH G 5-0 <br />' WELL ELEVATION (FT) STREAM VELOCITY <br /> L <br /> DEPTH TO WATER, STATIC (FT) 2 RAINED RECENTLY ? , <br />' WATFR-LEVEL ELEVATION (FT) OTHER <br /> 2-inch casing =.@gal/ft <br /> WELL DEPTH (FT} 4-inch casing X0_65 al/ft y` <br />�TG2 VOLUME IN WELL � � (gallons) 6-inch casing = l.4'7 gal/ft LOCATION MAP ; <br /> PUMP INLET DEPTH (FT) <br /> n <br /> VOLUME CONDUCTIVITY <br /> OTHER +h <br /> DEPTH TO TEMPT, pH Remarks r <br /> TIME WATER WITHDRAWN (m�cromhas 3 s <br /> (feet) (gallons} (dcg.'C) (s u•} per cm) O j. <br /> 2• . <br /> I i <br /> 2' b n <br /> L 4 Y <br /> ti" w}�'Y,. .3�.-FBF wf"��Es! ,. 7t i s .tiY�vtC�°yIi�W'�'�i=�„}„r,���3� inf�w r - rY 5 �F ;f.• '' i <br /> .�9-�ys <br /> Ax, .f - <br /> '�U=aC {:^�d 'w"i. '"� f� �« �+$'Ss'_'•.`.4 • krR:)''`(!" _ y V tai `�Y - s� a(,� r 1 <br /> -'�' � <br /> 4` <br /> + s„y.,Sr,,il',n _ `�,rk • + �i`fK""f��v °�° � �e?�pn,.. ���n,� `i+° R it sc} , �r+:saC„ i*g�,�s�,��'���Y'7�i����/��ir•��'S�+F'it�A�'a^��y��ws I <br /> %3 �r <br /> S:.r�'Sj.�, <br /> 7�i L <br /> '� <br /> r'� it <br /> 7 vb.r4r ,k'�x�}�r2✓ ���� �r y � � »j �. c C F�"6�rzaf- e' �,.5.1�'_r>'�i+ 3-0S'k_r..' 7�;. tr fr ,�,� <br /> �'' k S� tt'�y� Vic{ 1� `'Z �' 4C'� ` '' •..r3 s• ty <br /> r�'14�»�+}: i?.n'r'l w- "+,Y•+5�'s '�7*�. <�`r ri r lxt"ti �vr 'kwd`-e,. �' <br /> l rs <br /> - n�F1l w� ` r�r-••y r L"L � r� e Bei• <br /> Ertt;;rn-X f '�r.Y..r S r cn+. ��`% <br /> `.,xh ria iii �<r:,-.k'�,t.Str' '+s �s rl t,�•r' !'�F..Ya,`^"� �"ss°wr+'H�sir ..,.5 <br />