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AMON NO.: . _7�1, � , hit <br /> sco Sam _ WBLL ID: ��'✓" �.�'. � <br /> CATION NAME: " SAMPLE ID-- <br /> COUNTY: <br /> D:COUNTY: �a y} v-r kr 7 TE PUR ED: - - — <br /> DISTRICT:. F �� it DATE <br /> WELL INFORMA'ITON-Gallons per linear fl, r easgg ameter of Q 7S"-0.023 2 0.14. .0'-'-0.653 6';11.5 <br /> Casing diameter(in),f� i _ Depth to liquid(ft): Well depth(ft): �crccned ittteryal{Et}: <br /> Wetted screened length(ft): Static liquid level should rtain'above(ft): <br /> WELL PURGING: Start Time(2400 Hr):_ End Time(24Mu-)-- __ frump rate: (liters/min) <br /> ES-submersible Grundfos-submersible,_ .antrl Peristaltic Teflon bailer PVC bailer <br /> Depth to.intake from TOC 00:. <br /> Volume purg _ tmf) Purge water disposal: <br /> 71M Volume DTW Temp pH EC DO ORP Comments <br /> (2440 Hr) i (ft) (°C) A. (std.units) r G�33'C) � (?�l) (m .(i-e.colodgdor) <br /> LLA <br /> lie <br /> i <br /> . WELL SAMPLING: Start Time(2400 Hr): "r''"' End Times (2400 <br /> Equipment used: Peristaltic_. _ Grundfos Teflon bailer PVC bailer . Dedicated <br /> QC samples,collpeted at ymll:_ _ S les t"i_ltered#ffough 0.45µm fdtgr: <br /> REMARKS: <br /> /S-2- -T <br /> '*ater Cah'bration: Date: Time: Location of calibration: <br /> j •( )pH/. /_�pH 7:(_d 3 /— 1 D.O.L --/ mg/l) <br /> t mid- <br /> and ►gt b,farint): Reviewed by i <br /> Signature: SLS. Page _ of � <br />