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.ATION NO.: �� Sr`t e WELL ID: w`` --- <br /> �fATIONNAME: a`5c�i - rt _ _ SAMPLEID: <br /> COUM'Y:CM2 Q v h__ _ DATE PURGED: <br /> DISTRICT: :.•: " DATE SAMPLED- <br /> WELL INFORMATION-Gallons per linearfi for casing diameter of 0.75"-0.023 2" 0.!¢3 .0"-0.633 6",j !.S <br /> Casing diameter(in)f . Depth to liquid(ft): Well depth(ft): )0 �cr�ned interval(ft).--2 <br /> Wetted screened length(ft): Static liquid level should remain above-(ft): „ <br /> I . <br /> WELL PURGING: Start Time(2400 Hr):_ End Time(24-%u-)--— __ dump rate:)-- _ (liters/min) <br /> ES-submersible Gnmdfos-subm ersble d_____Ce �. Peristaltic_ , Teflon bailer PVC bailer <br /> Depth to.intake fmm TOC(R):_ ,—_ ._ r <br /> Volume purg tail) Purge water disposal:Q,2tainc"__plasticl,steel_drum 49, <br /> Time Volume DTW Temp pH EC 1O ORP Comments <br /> r (2't00 Hr) a� (R (°C:} std.units) {µst 'G� ( ) (m (i.e.oolorlgdor) <br /> << _ . <br /> Sfl S` C <br /> I. <br /> to SO r6d <br /> /S. Or 421 <br /> Ila <br /> os.!t9 1 6'�9 1 2 s So G <br /> WELL SAWLING: Start Tirne(2400 Hr): End Time(2400 Hr): <br /> Equipment used: Peristaltic Grundfbs Teflon bailer PVC bailer Dedicated <br /> QC samples col led at ►ell: Sa les f�Wed&ouu Wed 0.45µm filtgr: <br /> REMARKSt�:. a �� � � . f 1� .d <br /> "*.ter Calibration: Date: Time:Location of calibration: <br /> )pH 4:(. /---------)pH 7:(_/__ DA. <br /> b Forint): ;` 61 Ieviewed by:.R <br /> Signature 7 <br /> % page of <br />