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Date ////f <br /> Set up time <br /> Weather <br /> Sam lers <br /> WELL #MW-4A <br /> HISTORIC CONCENTRATIONS <br /> Location- Lz%de, d., /a', Construction Depth 25 ft bgs <br /> Construction 2 Inch Depth to Packer N//a <br /> Groundwater Zone Pump Intake <br /> Screened Interval <br /> Purge Setting Depth to Water <br /> Sample Setting Discharge Height of Water Column. It ,7 3 <br /> Volume of one casing- <br /> Packer Pressure ru l IK <br /> Purge Start Tune f1 i -1 c.3 Purge calculations <br /> Discharge Rate. N!}t- __11, -73 ft x 163 gals / ft x 3= <br /> Purge End Time 5--:Z--L-gallons <br /> Time Gallons Temp.ac.. pH EC s -tT Water clanty <br /> It 5 S,7 1 (" .5 -7, d"i- I c 3 <br /> ANALYSES REQUIRED SAMUE TIME CONTAINER TYPE FILTRAJIQ1N? <br /> TPI -Gasoline by 8015 MOD 12- (3)40 ml VOA w/HCL No <br /> BTEX by 5020 (3)40 ml VOA w/HCL <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br /> E <br /> PID reading when well cap opened O �D Disposal method of purge water• <br /> r 2 J", c anti. -s,k- <br /> IDissolved Oxygen reading- 'j JA Decontamination procedure <br /> Turbidity Measurement- I.-Y <br /> Other notes I <br /> I <br /> Sampler Signature(s). <br />