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iNALINLoGNTI <br /> SAMPLING iNFORMA110N FORM CONT. <br /> "Ca NAME ' r- i-t-c— SAMPLE" 'Dm <br /> i0t3 NUMBER �c1'T 7/( WELL NUMBER <br /> SAMPLING METHOD <br /> Q PUMP ❑ SUBMERSIBLE Q BLADDER ❑ PNEUMATIC Q PERISTALT <br /> AILER Q PVC Q�TEFLON ❑ STAINLESS <br /> FIELD INSTRUMENTS. BRAND SERIAL / 1,D.- <br /> PERATURE <br /> Ic-2- 1 <br /> �S <br /> Q CONDUCTIVITY I ✓ <br /> ❑ TURBIDITY llf_ <br /> DATE TIME IN17AL <br /> MEASURED WATER LEVEL DEPTH (BEFORE SAMPLING) <br /> MEASURED WATER LEVEL DEPTH (AFTER SAMPLING) <br /> DESCRIPTION OF SAMPLE WATER I I t <br /> (INCLUDE COLOR, ODOR. ETC.) <br /> SAMPLE MEASUREMENTS <br /> -rP-MP (°C) I pH (S U )I CONDUC71VTY (urnhos/cm) TURBID ITY(NTU) DATE TIME INITIAL <br /> o Xi I � L3r L.s <br /> Ll <br /> � IAME �C ��� �� PRINT NAME <br /> 5l <br /> C 1 r.I\I A TI I R c <br />