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10/01 00 MON 16 40 FAX 19259468868 ERMWEST WC 1Z009 <br /> cuss a Date7-zz-9 9 <br /> •�- Set upi,smef9po AN <br /> ,i.._ . MIN Weather- <br /> Samplers P" Sir <br /> WELL # MW-5 <br /> HISTORIC CONCENfRATTONS <br /> Location Construction Depth 16 Et.bp <br /> Construction:-2 inch pvc/ Measured Depth- <br /> GroundwaterZone. Purge Method Disposable Bailer <br /> Screened Interval.11-16 ft bp Pump Intake: <br /> Sample Method Disposable Bailer Depth to Water- _S <br /> Sample Preservation Method Ice Height of Water Column. I4..7`7 <br /> Volume of ori,:� I. 74 el, <br /> Purge Stat Date: 7-22,9 <br /> Purge Start Time- 1 10 fo Purve c lc ulahons <br /> Discharge Rata. .v 4 /0•7ft x 163 gals / ftx3- <br /> Purge End Time it 1 ganons <br /> Time Gallons Temp.' pH EC g/ca+ Water clarity <br /> //D 6 'r <br /> /113 Alf rr - '7 o <br /> 1 ' 73;Z- <br /> ANAkY_S_E5 REQUMED SAMPLE TIME CONMNER TYPE FILTRATxON? <br /> TPHg/BM / 4 x 40 a:d VOA HCL <br /> TPHd 2 x 1 Liter Amber Glass <br /> Fuel Oxygenates 3 x 40 ml VOA HCL <br /> i!y <br /> A <br /> FIELD OBSERVATIONS(Well condition, repaus needed) <br /> PID readutg when well cap opened: IVA Disposal method of purge water-Drummed on site <br />} Dissolved Oxygen readixW Al Decontav utation procedure-Alconox/DI Race <br /> Redox Measurement <br /> Other notes <br /> Sampler Signature(s)- <br />