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12NV=NMWA4 1 SAMPLING INFORMATION SHEET <br /> Client; L, <br /> - SEIAC06.1 #_ 4 9z Project No: -r 2 3 <br /> Site: Well Designation: a2- <br /> 4 <br /> Purging Equipment: 2" Disposable bailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with disposal bailer or other: <br /> Well recharged to 80% recovery <br /> Well Diameter: 2" 3" _ 4" g" g" <br /> Purge Vol. Multiplier- 0.163 0.367 0.653 1 47 2.61 gal/ft. <br /> Depth of well: 3S q , Calculated purge: L <br /> Depth to water: 22. qte Actual purge: C <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> art purge:_ �'S� Sampling time: S. Sampling Date: 4,- 4r,Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: <br /> QC samples collected at this well: L0 Lock: 3-4 S--�. <br /> Equipment replaced: (Check all that apply) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks. <br /> Signature Review <br />