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n <br /> �a <br /> WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL*SF-RVICES i <br /> roles Name a Name <br /> =6amo age o <br /> C z76 /MA nit cq It 3 - i3 - 03 N4W= 1 WDL.Weil Depth(it) 1J t <br /> Z Q v Sounded 3 2, P tMoalhxig Well Time pH Probe No. Temp.Probe Nn eat Gond Probe Na <br /> t3— <br /> C, ling(desc0113tribe) <br /> 1 - 7g. 72 <br /> Depth to water(ft.) Date/Iime ❑ Other(deatxibo) <br /> 2-zz-9 6 12 0 0 `1 z 3 f3 g _ —f-- d <br /> Well Diamew(in.) LNC Present? Uic Thidmesa 2 3 <br /> Yes ;3, No J <br /> 4 <br /> Utiaj at o er este o ume verstona ing wpment 5 _ <br /> in Casing ft) <br /> l 3 3 Doaiebmd ❑ Bladdee Pump <br /> S System Ql Bailer <br /> Volume(gal) wain <br /> 3 warag' PVC Bailer ❑ 1R Inchis ! <br /> 4"casing =0.653 gal/ft TeCon ' C) 1 114 lwh Point o eeoon Lime amp es ` <br /> 4,5' casing-0,826 gaM ❑3 iorh ?j: � 2-22` b <br /> Volume to be Evacuated 6"cuing = 1.470 Oift Q Ot Hoax ❑ End of Sailer ofri <br /> x 3 O x 4 8"casing =2610 0/'ft Sampling Port Na ❑ 0�� Depth co Wats(ft) y' ❑ No <br /> 10"toting =4,DW pl/ft ?' <br /> —7- 75 Volume Rat*(Wm) Sample Colort EA <br /> 1� /� Odor <br /> Evacuation Sediment/Pordgn L!' <br /> • Matto I,:_�'T <br /> Evacuated Evacuated Evacuated Evacuated <br /> Stop 71me <br /> SamQling <br /> 3 � � S rrence .: <br /> ?J 2. Sample 1D Numbs -Volrme. Time Preservative Analysis [.eb <br /> Sart•I4me <br /> woutes 9 <br /> Amt Evacliatcd t 3 s <br /> Total Evacuated ger] - <br /> Total Minute min <br /> Evacuation Rate gpm <br /> AttPumped rya every Container Codes P a Plastic Bottle B a Brown Olass ml=milliliter - - L linerLi <br /> - <br /> p Ya X11 No V=VOA C■Clear G1asa Osbcr describe <br /> T` 71M Depth to Flats <br /> Dcptb to Weer During Time otos: � <br /> Pumpng(ft) 1. !� <br /> 2 [�1 <br /> I?epih to Wates Recovery <br /> 3 <br /> � z <br /> fa8096 Recovery' �:: Resit(Spm) - ._ '"__ 3..' - <br /> 4. <br /> Sampled Afte 96 Recovery at <br /> 0 80% Roc' >'p Z_ -,r-Time of Sampling' —=M• : :� _.w -_.w - 'S -- r:s �� _-:_ =_ .-, �,.. _-�__ _ _ _ _.. __ <br />