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m doom M <br /> SAMPLING INFORMATION FORM TECHNOLOGY L <br /> ® TECtINOLOGY <br /> CORPORATION <br /> JOB NAME JOB NUMBER 1170'7/(p SAMPLE ID NO 4119 rtW3 WELL NUMBER AIW, <br /> i <br /> CALCULATIONS EVACUATION <br /> CALC AND EVAC . <br /> lIvIl 1, - MEASURED WATER LEVEL DEPTH yr 7/ it MINIMUM PURGE VOLUME 8.uS gal <br /> t<tND = MEASURED WELL DEPTH •r? 0 it (MIN PURGE VOL - 3 x WWV) DATE <br /> SWH = STATIC WATER HEIGHT` -Tt ACTUAL PURGE VOLUME 9 gol <br /> (SWH = MWD - MWLD) WELL PURGED DRY7 (Y/N) A/ TIME <br /> D - CASIIIG DIAMETER in EVACUATION METHOD _die _ 1Lgg! <br /> t+ 14 = WELL WATER VOLUME � I gal WATER COLOR y TRU INITIALS <br /> (wwv = SWH x 0 163 x [D/212 ) WATER ODOR <br /> MEASUREMENTS SAMPLING <br /> TEMP PHFCONDUCTIVITY TURBIDITY WEATHER ��e � _ MEAS AND sAMP . <br /> (F/C)° /cm) Intuf — q p <br /> (Temp and general condition) DATE <br /> SAMPLING METHOD -FrC &ILA�Z <br /> 0zno [/ TIME lZ�C3 <br /> 'T5 7.(� j 1 S o N � MWLD PRIOR TO SAMPLING 7�•� It <br /> ).9060 INITIALS ._.___ <br /> i <br /> ADDITIONAL COMMENTS ' <br /> NAME (PRINT) NAME (PRINT) <br /> i <br />