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WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL SERVICES <br /> roles NameCq <br /> roleot o c amc tc ime erne erg o <br /> 12- <br /> ?-A <br /> 1A1 C)Lo 7-7 <br /> nt <br /> Well y e) 7 Hong geWen Time pH Probe No. Temp.Probe Na CorA Probe No. <br /> J / 7 ❑ ampdng Point 1 32-1 7,g4, 7/,Z 9--y 6— <br /> Depth to Water(!L) Dati:Mrno ❑ Other(describe) <br /> ?I.q9 4 -1$ �5 1 vS 2 T2s '7.�f� 9.s <br /> Well Diameter(in.) LHC Present? `� �'�� LHC Thickness O r <br /> ❑ Yes KNo 3 <br /> n tia e, of Water Weil Volume Goovenions mp ing bquipmeot 5 <br />� in Casing ZFt) <br /> {� Dedicated ❑ Bladder Pump15 6 <br /> System ❑ Sailer <br /> Volume(gal) �rcming�163 <br /> PVC Basler 1/1 inch <br /> 7 Point o o eepon ima amp os 'late <br /> a 5 4"aaamg=0 653 gallft Teflon 1 1!4 Inch XEnd <br /> r4.5 casing-0 826 gal/ft ❑ inch j3 ZVolume to be Evacuated 6"casing=1470 gal/ft ❑ Ot Hose of Barka _ <br /> z 3 p x 4 8"casing=2610 gallft Sampling Port No. C] Offer Depth to Water(ft) Berated? <br /> 10'camog=4 080 gal/ft --r Yea ❑ No <br /> —7r k Volume Rate(Bpm) Sample Color C LE A P, Odor <br /> Evacuation Sediment/Foreign ttM jA bR JI LT— <br /> +V v <br /> er <br /> Evacuated Evacuated Evacuated Evacuated <br /> Sampling <br /> y S uence <br /> Stop rine .>Z� <br /> Sample ID Num Volume Time Pres rve Anal err /Labf <br /> Start Time p _ ; `Z� X27 � /1/J�/ 11VlPet1� <br /> �Lf 5.3.�IL�Z <br /> Mmutu `--' <br /> Amt Evacuated ( 2— <br /> Total <br /> ZTaal Evacuated 12— gal <br /> Total Minutes L- min 7 I <br /> Evacuation Rate D gpm <br /> P=R ry ecovery Container Codes P=Plastic Bottle B=Brown Glass ml=millih ter L=liter <br /> ❑ Yes No V=VOA C=Clear Glass Other&scribe <br />� Time Depth to Water <br /> Depth to Water During Time Notes <br /> Pumping(ft) 1 <br /> i <br /> I 2 <br /> Depth to Water Recovery <br /> for 80% Recovery Rate(gym) 3 <br /> 4 <br /> Sampled After %Recovery at <br /> ❑ 80% Rea ❑ 2 hrs Time of Sampling 5 <br />