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0 • i � <br /> WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL SERVICES <br /> tat eine T rokect No. well Nam* Date 11030 page o <br /> �3- -�44 u) -3 <br /> Depthwell i)cptb(tt) Sounded Sampling b4mPmew <br /> 7 3 a ❑ Momtonag Well Time pH Probe No. Temp.Probe Na Card Probe No. <br /> G2 Sampling Point <br /> Depth to Water(R) r DatelTime 0 Other(describe) 1 <br /> Well Diameter(a) LHC Premt7 LjfC Thickness <br /> 2, ❑ Yes C�No (J/Ai 3 <br /> 4 <br /> Initial eit o ata Volume verstoas p ng Equipment <br /> :n Caning rt 5 <br /> 3 Dedicated Q Bladder Pump 6 <br /> System 0 Bailer <br /> Volurne(gal) 2'cuing=0163 gallft <br /> 3"casing=0.367 0/ft PVC Bailer ❑ 1/2 inch <br /> 3 r 13 4'easing=0.653 gall@ Te on " ❑ 11/4 inch Point of Collection 'rim* amp es <br /> 4.5' caning=0.826 0/ft ❑3 inch <br /> Vol to be Evacuated 6"cuing=1470 gak/R El PE Hose End of Bwler <br /> ( x 3 p x 4 r caemg a 261D ga1/R Samphag Port No ❑ Other Depth to Water(ft) Re gerated? <br /> 10"casing=4080 gal/ftLQ�Ya C3 No <br /> (� <br /> Volume Rate(gpm)� Sample Odor Odor � <br /> I / f <br /> Evacuation matter Poragn ,, J <br /> Evacuated Evowsted Evacuated Evacuated Sampling <br /> S uen. <br /> Soup Time <br /> Sample ED Number Volume Time Preservative Analysts Lab <br /> Start Time <br /> I�Stnutu <br /> Amt Evacuated <br /> Total Evacuated gal <br /> Total Moutes into <br /> Evaautoo Rate gpm <br /> ecovery Contataer Codes P=Plastic Bottle B a Brown Glus ml a mtlhltter L=liter <br /> ❑ Yes Q No <br /> V=VOA C a Clear 41as Other describe <br /> Time Depth to Water <br /> Depth to Water During Time otos <br /> Pumping(ft) 1 <br /> 2 <br /> Depth to Water Recovery <br /> ter 8476 Recovery Rate(gpm) 3. <br /> 4. <br /> Sampled After 96 Recovery at <br /> ❑ 80%Rea Q 2 his Time of Sampling 5 <br />