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WOUNDWATER SAMPLING Lt7u r <br />AV <br />e <br />SamplL 6n: ,fir- <br />, tet - <br />Date: <br />Pvotp iype.. lCA-rif-6 <br />Chain of Custody Doc@: <br />Dodiea able (circle one) <br />nipth of Casing: h <br />Casing Diameter: <br />Depth of Watar• -77-- <br />Volume Factor <br />VOL Water in CashvGallons/Casing volume <br />�.._ <br />Pump on: initial Pump Rate <br />opm): <br />Tloo Pump off: Measured by buckat, grad, cylinder <br />or othar (Spoaity): <br />• The t0 Remove 3 Welt <br />Time Q Gal, Removed pH Sc OG G=monta <br />A16w,5444T� t mT /�'S <br />Analysis Requested: <br />E Motor o. <br />PH Meter Seri: Caib:Y/N <br />SC Motor Seri: Calb.YIN <br />AO Ser e: Ca9b.-Y/N <br />'i harmomater Seri: <br />lima Colloctod: <br />Size/preservative: <br />zT'•� LL�SL�660ZT Ol 'DNI 'S31a0id609U-1 OS WOdd Wdb7-:£0 b66T-VO-OT <br />