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Date p 111,F 7 <br /> Set up time J`f 1 j <br /> Weather <br /> Samplers 4 <br /> WELL #MW-5A <br /> HISTORIC CONCENTRATIONS <br /> Location. Ace" iv osr U.)t E I @ Ba.W., "ass Construction Depth 18 ft bgs /-7,4,7- .,cos <br /> Construction 4 Inch Depth to Packer N j it <br /> Groundwater Zone Pump Intake Ai <br /> Screened Interval <br /> Purge Setting D Depth to Water S. �a 3 <br /> Sample Setting Disclaa ge Height of Water Column I 5 9 <br /> Volume of one casing- p- Z z. <br /> Packer Pressure u vk <br /> Purge Start Tune r y?j S Purge calculations <br /> Discharge Rate IL1 V}' zZ S5 ft x 653 gals / ft x 3= <br /> Purge End Time 1`f (O(o gallons <br /> Time Gallons Temp. G pH EC Water clarity <br /> y S D r .., . nw y' <br /> �f�t i 5 �-!• 7, <br /> 202o�S p7 /7 -75 <br /> ANALYSE,_REQUIRED 5Q CONTAINER TYPE FIj,IKA,TION? <br /> TPH-Gasoline by 8015 MOD S (3)40 ml VOA w/HCL tJ e <br /> BTEX by 8020 (3)40 ml VOA w/HCLi <br /> f FIELD OBSERVATIONS(Well condition,repairs needed) <br /> PID reading when well cap opened 0 , C> Disposal method of purge water <br /> Dissolved Oxygen reading �j Decontamination procedure <br /> Turbidity Measurement <br /> other notes ( J� <br /> I <br /> K"«� 7-Sampler Signature(s) I�i✓ <br />