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f <br /> Delta <br /> iA#1111k Environmental SAMPLING IN <br /> Consultants,Inc. FOR1►gATION SI <br /> Well No�_ Project Name l <br /> Client PMIS <br /> Location(address) <br /> Date SampledAgUA-f bff <br /> Well Depth ft below top of casing Casing diameter t� <br /> inches <br /> DTW(below top of casing)6L,-Ta-ft- Time: <br /> DTP ft. <br /> Purging Method:❑Submersible pump❑Bailer[]Centrifugal pump Other ) <br /> Sampti"g Method:E]Disposable bailer❑Sampling port Samples collected <br /> GROUND WATER EVACUATION/STABYI,ITfpN DATA <br /> Cumulative Volume of Water <br /> Time Te t <br /> Conductance DTVI' Removed From Well <br /> R units umnoslcm (Nearest 0.11 ft <br /> (gallons) <br /> Comments <br /> Transportation(therma]preservation) All 1,c fd <br /> Form Completed 13y Sampled By <br />