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i <br /> Delta SAMPLING INFORMATION Sfi <br /> A#////4,k <br /> Enviresn�e�tta4 <br /> Consaltantsjac. tt + <br /> Well No- Project Name___�� tt�1 Clrent �•S <br /> Location(address}� -2-7SI <br /> Date Sampled 1 / -2yt 5 <br /> Well Depth Jv,1- ft below top of casing Casing diameter inches <br /> DTW(below top of casing) �? •� ft- Tutee: <br /> DP ft. <br /> Purging Method:E3 Submersible pumm Bat7er[]Centrifugal pomp[]Other <br /> Sampling MethocDisposahle bailer❑Sampttng port Samples collected <br /> GROUND WATER EVACUATIOMSTABUJYATiON DATA <br /> Qtmulative Volume of Water <br /> Conductance DTW Removed From Well <br /> Time emperatureev m H units umnos/c (Nearest 0.01 ft) <br /> / allows <br /> ,zL� <br /> Comments- <br /> Transportatton(therwal preservation)_ <br /> Form Completed Sampled By <br />