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i <br /> prole_ct t o q Project Name <br /> Well Name Date Timms s Imdals <br /> 1 1 <br /> Well Depth(nl Sounded Depth iota WeN Type <br /> 2 ��� Wsq Time Ph Probe No Tamp Probe No Coed Probe No <br /> Ostomm• (3 Sampling Port <br /> DTW i J�-. 8 /3 �` /'' ❑ Other(dsscribel 1 �Um <br /> 2 <br /> Well Diam On I UHC Present? WC Thickness <br /> O Yes S <br /> Initial Height of Water Fawalas and Ceaveeekne lice pline Etldpnnnt Point of CeOeotion Time Samples Takata Date <br /> In Cooing(itl f.eiea mdlhainft <br /> 'V <br /> h.by ot„�c�le a, DedioetN O Bladder Pump ❑ PE Non 0 End of Baiter <br /> 7 rd,d eckon■a t"h System 0 Beller 0 OtK De afar Rafrlga uWl <br /> volume(gal) Lal Pl l If PVC Dollar ❑ V2 N 0ElNo <br /> Yes <br /> Y "casipg=11183 gal l k L) 11/4 IL Sample Color Odor <br /> Z� 'castpg=0.357 gal l ft, p S 1n <br /> Volume m be Evacuated ( J.casing=0 653 gal l tL Sampling Port No Sediment/Foreign <br /> 7 ❑ x4 �► casing=0828 gal/k Mlattar <br /> V"'oast =1470 gal 1 R <br /> � um• gd Rate igpm <br /> v "castpg=i810 gal 1 fl Sem lin <br /> 62- Ve,"easing=4080 gal l it Saqu:nc <br /> Evnaa6ea Sample ID No Volume Container Preeevs*e Analysis lab <br /> (mil <br /> Evacuated Evocueted Evacuated Evscu <br /> Slap time VQ <br /> Start Time <br /> frtlnuta ;2 <br /> Amt Evoc'd Gal gal gal gal <br /> G <br /> Total Evae'd go <br /> Total AOtntta min ��n► <br /> Evac Rata gpm <br /> Pumped Dry? After(gal) newer? Container P■Plastic Battle B.Brown Glen ,-- <br /> 0 Yes NO Coda Y■YOA C-Clear Bless Other Describe <br /> Time DTW <br /> Depth m Water During Time 1 <br /> Pum Ping ittl <br /> Depth m water Romery 3 - <br /> for 80%Recovery Rau(gpm) <br /> 4 <br /> Sampled Attar %Recovery at <br /> ❑110%Rae 2 hours Time of Sampling <br /> WESTERII OEOL081C Rise iBCE:.WE U/00 � Of <br />