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r: Vo.'V,talk P!E10 �i"s►Y r:`.. <br /> ..ATION NO.- ez . ' c _ 10I SC-0 5)&. WELL JD. /0Ar <br /> MnON NAM 13:�--_ - `�-�+(-T SAMPLE 1D: <br /> COUNTY: DATE PURGED: <br /> DISTRICT: DATE 7l! I <br /> WELL WFORNAI�LON.-gallons per linear fi for casing diameter of 0.75" 0.023 2" 0.1¢3 .0"-0.653 6' R 1.5, <br /> Casing diameter Depth to Liquid(R): Well depth(ft):_ _ acrcencd interval(ft): <br /> Wetted screened length(ft): Static liquid level should remain above(fl): <br /> WELL PURGING:. Start Time(2400 Hr):_ End Time(24M s? ;rump rate:- (liteis/min) <br /> ES-submersible Gmadfos-submersible,__-Centr g'J1 Peristaltic - Teflon bailer PVC bailer <br /> Depth to.intake from TOC - <br /> Volum purg Purge water disposal:Contained-in_plastic/,steel dnun Cal <br /> lune Volume DTW Temp pH EC DO ORP Comments <br /> (2400 Hr) I (ft; ('Gy {std.units)' (pS®251Cf ( ) (mV .(i.c colododor) <br /> Aglete <br /> WELL SAMPLING: Start Tune(2400 Hr): '°'` End Time(2400 Hr): - <br /> Equipment used: Peristaltic Gtundfos . L Teflon bailer PVC bailer Dedicated <br /> QC samples callpEted at well: "` S4MPles filtered Ov ouah 0.45pm f"dtgr .- <br /> REMARKS: a... • =Pte ,- �f a.!' 9 S`91 s- <br /> 1 - <br /> .� - <br /> '4eter Calibration: Date: Time: Location of calibration: <br /> ( l )pH 4:(.- _/—�pH 7:'(— _ / _ 1 D.O. <br /> b, print):� �. �- r/1 _ Reviewed by:.:-- ,, ` f <br /> Signatura:f- , �� ^ ` _ f, pg f' a <br />