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A, <br /> WATER SAMPLING DA'I I <br /> Job .r*, r' C-� <br /> Well Number /+j W" Date _ 1Jc11 Diameter 2- <br /> Sample Point f ocation/Descr rptiun <br /> Depth to Water (static) 1) ] ) Well <br /> Depth (spec ) <br /> ell Depth (sot)n(lccl) 11 <br /> Initial height of water in casing io Volume j, r�> }; 311oirs I ormulas/Convr-mns <br /> Volume to be purged = tiCII radius in It <br /> gallons h = ht of water col In rt <br /> Purged w,th ` SjApLvs,'y> _ Sampled With i� 70 12 �jb r 7 48rG%,fr'� 7jr-h <br /> Pumped or Balled Dry? Yes �No Time Alter gallons V''casing � 0 1133 gal/ft <br /> Water level at sampling g V3 "`Ing = 0 367 gal/It <br /> Percent Recovery V.-casing G 0 653 gal/ft <br /> V,-s-casLng - 0 826 gal/ft <br /> V casing = 1 47 gad/ft <br /> CHEMICAL DATA V.-ci-tng - 2 (>-I ga]/ft <br /> Purge Torte Purge Volume Cumulative <br /> Specific Conductance <br /> Start Stop (gal ) (gal ) pH Temp {°C) Mleasurement x umbos/cm <br /> i <br /> "i <br /> SAMPLES COLLECTED Tune S - <br /> Total volume purged (gal } <br /> Water color <br /> Odor <br /> Description of sediments or matenal in sample <br /> Additional Comments <br /> Sample a of Container filtered Preservative Rcfrrg Lab 1D Cont "),PC (s17c ul (t�,l�cl (Y1N) Malysis <br /> L,/ 3 (]roil Requested <br /> EL <br /> tafner AIPe Codes I = 40 nil clear VOA/Tellon septa. 2 <br /> 3 = Clear glass/teflon lined cn F Brown !:lass/teflon lined cap (specify slit), <br /> 5 = Other P (sPeclfi sire), 4 = Polyethylene/polyethylene cap (specify size). <br /> =Other <br />