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® 2WxMM0ffA4 SAMPLING INFORMATION SHEET <br /> Client: +' '-197 Project No:_ 9A -(�Z <br /> Site: 70 1 1Well Designation:_ <br /> Purging Equipment: ;/ 2" Disposable bailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with isposal bailer orother• <br /> Well recharge o recovery, <br /> Well Diameter: 2" 3" _ 4" ✓ 6" _ g" <br /> Purge Vol. Multiplier: 0.163 0 367 0 653 147 2,81 gal/ft. <br /> Depth of well: 3,;' 71 Calculated purge: 3 <br /> Depth to water: ZZ '3'7 Actual purge: 3 s" <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date H Initial reading � U. <br /> e IAy',7 Adjusted reading <br /> tart purge: 1 L 3 Z Sampling time: S 0'2- Sampling Date: 4 - <br /> Time Temp. E.C. pH Turbidity Volume <br /> Ts- <br /> I -3 :7 <br /> Sample appearance: <br /> OC samples collected at this well: go . Lock: 3 <br /> Equipment replaced: (Check all that apply) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks: LL11t n c <br /> I c Hlf 1. 4L - <br /> G <br /> Jf <br /> Signature Review <br />