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MAN w M M M Ism M m m w Mir M <br /> SAMPLING INFORMATION FORM INTERNATIONAL <br /> T$CHNOLOCY <br /> CORPORATION <br /> JOB NAME Ft-ISj - 0QD ZJ0B NUMBER / /gyp SAMPLE ID NO. 070 3 WELL NUMBER HW-5 <br /> CALCULATIONS EVACUATION CALCULATION AND <br /> EVACUATION RECORD <br /> MWLO MEASURED WATER LEVEL DEPTH tt MINIMUM PURGE VOLUME !Q go <br /> MWD MEASURED WELL DEPTHST�7 ft (MIN PURGE VOL - 3 x WWV) �i-S DATE: ?a6� <br /> SWH STATIC WATER HEIGHT /9.98 ft ACTUAL PURGE VOLUME /D gal <br /> (SWH - MIND - MWLD) A2 <br /> WELL PURGED DRY? (Y/N) A) TIME : <br /> 50 <br /> 0 - CASING DIAMETER Zwk In EVACUATION METHOD -rm -- ar414Lmmm— <br /> WWV - WELL WATER VOLUME 3,Z� <br /> 2 �go WATER COLOR INITIALS : <br /> (WWV - SWH x 0 163 x [D/2] } WATER ODOR 4)9i <br /> MEASUREMENTS SAMPLING SAMPLE TIME RECORD <br /> TEMP H CONDUCTIVITY TURBIDITY � � <br /> (F/CIO F Iumhoshm) (ntu) WEATHER , � <br /> (Tamp and general condition) DATE . /f// <br /> �.5 SAMPLING METHOD �►l4 A-� <br /> .j +j�f ��� : <br /> ./ ` ' / ✓ltl�/ MWLD PRIOR TO SAMPLING "f J.Z7 it TIME /Cleo <br /> INITIALS . — <br /> ADDITIONAL COMMENTS <br /> QA <br /> NAME (PRINT) NAM (PRINT) <br />