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Water-Quality Sampling Information r, <br /> Project Number: ,1 i- =1 Page off 4 <br /> Project Name: a iL+,`�1 a_1 ,�:e.. i Date: W ,��,( <br /> Project Location: •, l'-i: l )i: i J!'y'r9;ca ' :7 i,.,..i (:A Day: M T W Th (�, S S <br /> Site Conditions/Weather:5 C�, C4)4:p=0 LFR Staff:(Tf-_ <br /> Comments : <br /> SAMPLING METHOD <br /> ❑ Centrifugal Pump Disposable Bailer Sample Number: f` u1 ' <br /> ❑Submersible Pump ❑ Teflon Bailer ❑ FB: <br /> ❑Hand Bail ❑ EJDUP: <br /> o er <br /> Analysis Requested ` Number and Types of Bottle Used EB: <br /> �J(R \LU Calculatlon Area <br /> Height of water column(wc) <br /> Depth to water(dtw)=/0,, C <br /> Method of shipment gCourier j 21 <br /> 'L "*l ❑Hand Deliver <br /> a name <br /> Well Number: iA U,. ' r <br /> 7:� Well Diameter. !'),llti � `( � IG, I• <br /> Depth of Water(dtw):J D • Q 2"(0.18 gallon/feet) <br /> Well Depth(wd): i'ZI ❑ 4"(0.65 gallon/feet) <br /> Height of Water Column: !(.H'T ❑ 5"(1.02 gallon/feet) <br /> Volume in Well: (gallons) J.'2 ❑ 6"(1.47 gallon/feet) 80%DTW= (UVD)-(WCx0.80) <br /> 3 Well Volumes:(gallons) 5. `/ ❑ <br /> Time Depth Volume Temperature H Cond. DO Remarks ' <br /> to Water Purged(gallons) ORP(mV) 'F p ms)cm (mg)L) <br /> R0,q X60.0 �.T5 �Lbct3 <br /> c1 - - 12- <br /> vol <br /> IIS <br /> 1 <br /> Reviewed by: Signed: Date: <br /> 1 <br />