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s1St <br /> i' <br />5�11..A mg <br /> ME. <br /> ' t4'ElS5 rtSSOCfiti7E^, <br /> TrZAVCL T.3 L/-?/\f h <br /> WATER SAMPUPC DATA Well Name N1si Date 17 .4 Time �1007 <br /> Job Name/Number 61(2 zore aa-kk-CONT' �y 3US Initials <br /> Well — Spring __ Surface _ Other jpJ j r,,� r2L4Mj1 <br /> Location Na. CL "- <br /> L DATA: Ilell. type _ (Describe; M - monitoring wel <br /> Dcp to Water ft (pump/stat) Maximum Drawdown Limi: (MDT.) ft <br /> Well pth ft (sounded) Well depth _ ft (spec <br /> Well di cter _ in. TOC height above ground ft Water elev. ft <br /> Volume Ev uated: Pumped Pumped Bailed <br /> Time: S [j rola rstona i <br /> Sea <br /> _ r- radius in f6 <br /> Total hrs/mi a– t of wntar col is 1C j <br /> Total. Evacuated gal,. `�li -nom <br /> t0 aallrc <br /> Evacuation Rate gPm vZ" walsss 0.163 eal/ft <br /> ,. Vj" uuins'"0.367 sal/ft <br /> P # and type Bailer l` at e ar- casins-':0.553 gallft <br /> nd ' <br /> Hose # and e ' �; VI�3`caalny 0.629 5atift <br /> YP vs caalns`1.i7;;al/ft <br /> Ve culna 2.51 r 6a1ht. <br /> Sampling For .Relte�` <'. m =Vahmle al`' �?' •`_ <br /> jLocation/descrlption s {1 <br /> r <br /> r .Initial!iAiht of mater in casins ! <br /> wi ,ft, volume <br /> r .EVacuation at drawdown liciit` r <br /> ,� 3y x int :�rclumer gal <br /> -Evaccation at�sampZ�trg point w ]i7CFIn 1 .`,VOZIlIDe �.•1 <br /> 'r" :i ii f t �� •i., ti To Ca�J`L` w 8 eV LSa Ced- t ga��4c. 4 •"inti,- r � � !r ' <br /> Water 1'i0 <br /> -. 6 "r q t i .r. 1 J T �... ". v N ..,�,► <br /> 1 �Description�df ETsdi>aent° Smp <br /> and/ox raign'anatter: s 1e�rsr nv .:� t «�a1•vo <� <br /> };iJ�. <br /> 1'oinC 3l <br /> Of!6bMictio ' w Zr+� r y •_ J .c;h 1a 5 h :d n¢ .`:rt rb <br /> Depth to water during p ng '';'rt ft: •,.time <br /> Zing -,f -ftp ��'9•time � � . <br /> ?.f±. Sv'i`•rc 7,pt1R7ped;dry7 'a. `-. *�/-;i Afte 'gal +Rccovery.'pratey f�.�%-' i 1. :�r Yl%*:i:4',`hF f c?-4 i <br /> + l faDDITYONAL COMMENTS;' r' <br /> CAPION SKETCH. :ENVIROt�itar•:CONDI ONS��.e <br /> �? '-�y ryvan zunniTlg;nearb <br /> :etc <br /> problems with equipment or iGamgling { ° pump 1013/off- ,, ! rT�,r r ► <br /> times' ''etc. ov <br /> <F 'CHIsPiICAI, DA r,s� '(e - f 1..�t Yti r -- •rr s' J� .7 .1 FI `�-�'Mw' - <br /> �` Temperattlr '` o :�Ttexmometer # Y ;Specific Conc.tictance `umbos r 4 4' <br /> pH c Calibratiurit 4.0 7 0 r ` ;.,:.. ti 1, t1 <br /> ;q { , 10'0 Calibration Temp oC ' <br /> j' SAMPLES COLLECTED <br /> .CJ91 l;iit>1/� ' <br /> -Bottle :Filtered Preservativ <br /> !p rs Sample :Cap (size; u) (sgeci£l) <br /> ID No., _ ml (Specify) (N No) . (R --Refrigerated)".. Azlalysis`j Lab Y <br /> 01zo9�8ffAof _r2P�sp ?rY ya ml _ �l .�. n/H � nlfivr CCAS <br /> 13Pt17 "'1 ml fiJ� —`FUCc rn1Y Cf.V< . <br /> M1 <br /> Ml <br /> M1 <br /> M1 <br /> M1 <br /> M1 <br /> Bottles: P -- Polyethylene; Pp - polypropylene; C or B Clear/Brown Glass; <br /> 0 - Other (describe) <br /> Additional Cap Codes: Py - Pol,yseal; V - VOA/Teflon septa; M - Ketal <br /> 9.L�, . s <br /> IV ; MryLrye <br /> DUC M CANNOT BE <br /> .l_M RC)%W DUE, T0 <br /> THHEE <br /> �_, M01TION OF THE ORIGINAL ' <br />