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ACTON • MICKELSON • van DAM, INC. <br /> SAMPLING/DEVELOPMENT INFORMATION <br /> Project Name t3 <br /> SamplinglDeveIopment Point - Z <br /> Sample I D Project No , 1s�Q0 S.. U 5 _ <br /> Describe Sampling/Development Point Work Order # <br /> Date Il 1.%;J 4A <br /> Field Crew <br /> li <br /> Well Depth 3 feet below MP Casing Diameter inches <br /> Depth to Water (below MP)_ le°1 2 B feet <br /> Discharge Rate gpm Tame <br /> Number of borehole volumes <br /> evacuated before sampling 7 3 <br /> Sampling/Development Method 3 � . <br /> Tap X Bailer Cenzifugal Pump <br /> Submersible Other <br /> Pump intake or bailer set at feet below MP <br /> Sample Appearance <br /> 'Vote any Sampling Problems <br /> Vote any Equipment Washing <br /> Samples CollectedlTime 13' 55 <br /> EVACUATION/STABILIZATION TEST DATAL <br /> Temperature Cumulative <br /> Corrected Water Level Volume of Water Pumping <br /> pH Conductance Temperature (nearest Removed from Well Rate <br /> Time (units) (umbos/cm) (°C) 0 01 foot) (gallons) (rpm) <br /> 1-N, 2 5 -4. 8 l -4• Ls (a I 'b 9 <br /> ! 3: 313 :1 -75 9z La Z 1 `l <br /> Bailing Start Time 13, 115 WL_ b`1 Z3 _ <br /> Bailing Stop Time 13' 50 WL <br /> Comments <br /> Signature Date 11 INC 1 cl%4 <br />