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i <br /> Delta <br /> /R& Environmental SAMPLING INF'ORAIATION SI3 <br /> AConsultants,Me. <br /> Nell No. t�iKj Project Name <br /> Client <br /> Location(address) Cj3 �Ai tap <br /> Date Sampled Q /U , 5 <br /> Well Depth ft below tap of casing Casing diameter `p <br /> enclies <br /> DTW(below top of caseng) �j�a.� fL Time: <br /> DTP ft- <br /> Purging Method:10 Submersible pump❑Bailer❑Centrifugal pump[]Other <br /> Sampling Method:19 Disposable bailer❑Sampling port Samples cotlected�S <br /> GROUND WATER RVACUATION/STABELltZATION DATA <br /> Cumulative Volume of Water <br /> Conductance DTW Removed From Well <br /> TitreTem avatar H units umnos/cm (Nearest Q OI ft <br /> �S4s Inns <br /> i <br /> z�- 8 o <br /> Comments: <br /> I <br /> Transportation(thermal preservation} <br /> Form Completed By Sampled By <br />