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I <br /> SAMPLING INFORMATION FORM <br /> ® INTERNATIONAL <br /> TECHN <br /> TECHNOLOGY <br /> CORPORATION <br /> JOB NAMEAcfi LL JOB NUMBER t pR 1(� . $ SAMPLE ID NO. WELL NUMBER <br /> CALCULATIONS EVACUATION CALCULATION AND <br /> �} EVACUATION RECORD <br /> MWLD � MEASURED WATER LEVEL DEPTH �oC•Q fl MINIMUM PURGE VOLUME: �� �' <br /> —��9af• <br /> MWD - MEASURED WELL DEPTH ft_ dr <br /> L](MIN, PURGE VOL. . 3 x WWv) DATE• /O�.?�? <br /> SWH - STATIC WATER HEIGHT ACTUAL PURGE VOLUME: <br /> ft. gal. <br /> (SwH - MWD - MWLD) <br /> D x CASING DIAMETER <br /> WELL PURGED DRY? (Y/N): nj TIME : 14sS <br /> In. <br /> wWV . WELL WATER VOLUME <br /> EVACUATION METHOD: C. I�OF <br /> .� /ass <br /> 401. WATER COLOR; <br /> 2 INITIALS : <br /> (WWV + SWH a 0.163 x lD/21 ) WATER ODOR: 4f <br /> MEASUREMENTS SAMPLING <br /> TEMP H CONDUCTIVITY TURBIDITY FSAMPLE TIME RECORD <br /> (P/C)O P (umhcs/cm) Intu) WEATHER: pws <br /> (Temp. and general condition) -40&w0ty sJ <br /> DATE : 10•.LZ <br /> SAMPLING METHOD: <br /> ME : <br /> MWLO PRIOR TO SAMPLING: �� �Z';1. <br /> INITIALS : <br /> ADDITIONAL COMMENTS <br /> NAME (PRINT) NAME (PRINT) <br />