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r _ t <br /> E .. P�►�,� .� <br /> ? Fw1 FIE,0 Salk <br /> .ATION NO.: — a. Ftrt�t WELL ID: <br /> fATIONNAME: � :�z / w!LZ5Ge S� SAMPLE ID: <br /> COUNTY: .~- - . DATE PURGED: <br /> DISTRICT: <<....: : : DATE SAMPLED: <br /> WELL INFORMATION–Gallons per linearftfor casing diameter of 0.75"'a 0.023 2" 0.1;350--06S3 6";A 1.5, <br /> ' f <br /> Depth to liquid t)• Well depth f).•Casin diameteto) <br /> ,creeaed interval(ft): <br /> r Wetted screened length(ft): Static liquid level should remain above(ft): <br /> WELL PURGING: Start Time(2400 Hr): End Time(24QD��� rump rate:­ (liters/min) <br /> ES-submersible Grundfos-submersible__._ Peristaltic-- Teflon bailer PVC bailer <br /> Depth to.intake from TOC fft): _ <br /> Volume purg tmt) Purge water disposal:Contained in plastic/aftl drurn , <br /> 'Pane velumDrw TMV pH EC DO URP Conunents <br /> d ' r Q11 .(°C) .! {std.units)' (pS0211C) ( ) {m (i.e.color/Qdor) <br /> OL 0 <br /> -76 fan <br /> 14 <br /> Azw­ e) S0 _s <br /> �s yL x/. <br /> 029.0, fL IrkICE <br /> WELL SAb eLING: Start Time(2400 Hr): r r End Tune(2400 E <br /> Equipment used: Peristaltic Gruadfos _1T Teflon bailer r PVC bailer Dedicated <br /> i QC samples collPeted at lvell: <br /> tSteles filtered(prow;h 005µm filtgr: <br /> REMARKS: ,t r r•'°,;.`�.__f <br /> —+– <br /> ��•. Wig_ a • .i .� H► 1'-�/} x — "� I ,-�;� .0 <br /> v <br /> "1^4er Calibration: Date: Time: Location of calibration: <br /> x( I )pH 4:(. - / pH 7:( _ _r-- )D.O.��/ 1111) <br /> in(,print}:. ;` Cs• L%) Reviewed by: <br /> Signature: J Page <br /> 1.. <br /> I <br /> 1 <br />