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ACTON + MICKELSON a van DA�MI, INC. <br /> SAMPLING/DEVELOPMENT INFORMATION <br /> 19 Project Name <br /> Sampling/Development Point r ,w - 1 <br /> Sample I D Project No 1 <br /> Describe Sampling/Development Point Work Order # <br /> Date W\lo SIH <br /> Field Crew 9,1, <br /> ti <br /> Well Depth %7> feet below MP Casing Diameter inches <br /> Depth to Water (below MP), (09 , 1046 feet <br /> Discharge Rate gpm Time _11, 05 <br /> Py1 <br /> Number of borehole volumes <br /> evacuated before sampling 7 3 <br /> Sampling/Development Method 3 -Sz <br /> Tap - Bailer Centrifu,;al Pump <br /> Submersible Other <br /> Pump intake or bailer set at feet below MP <br /> Sample Appearance CLgeA 2 <br /> Note any Sampling Problems <br /> Note any Equipment Washing ARzAE _ _-.- <br /> Samples Collected/Time C 11 55 <br /> EVACUATION/STABILIZATION TEST DATA <br /> Temperature Cumulative <br /> Corrected Water Level Volume of Water Pumping <br /> pH Conductance Temperature (nearest Removed from Well Rate <br /> Time (units) (umhos/cm) (°C) 0 01 foot} (gallows) (gpm) <br /> 1 6.47 7 615 I (Dto. Z l a <br /> 7- <br /> 5o <br /> 5o 8LA5 Z `I9 � � 0 30 <br /> Bailing Start Tune „ _ 1t'o S WL �"1.O <br /> Bailing Stop Time WL 1 Q S <br /> Comments <br /> Date <br /> Signature <br />