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SF.COR International Inc. <br />NVA I LK SAMI"U 1• LIMA) 1)A i A SHELI <br />Roll (I N Q- �, -/3 yV i CJI <br />CLII N I NANI 1 lq,9vCeA1 Q-,5 i 7-� �A\1k'l E 1) lil Gf} <br />LOCAL 10N 3G/ rv.SST //ii <br />DAII Pt 1R(,1 l) j' _)-- til \Rl (_1400111) 1j�G <br />Will 1i) <br />SANWI I 1 1) <br />QA',AMI'l I) <br />I N'I) (' 1()()hi t I <br />DAII SAMi'l l 1) } d t ( <br />5%11k'tE TIMI (�lUUhi) �fii <br />')A\11'1 1 Ill'] (,E„un,i u, i Suil i W H r nr <br />CASIv(- DIA1,11 I I R �( G Othy, <br />C.isutg Volum (,_ 10011 l)k i 1001 t IQ 1 7) (0 +5) (0 01) ( I W) (1 )0) (2 G0) { ) <br />DLPTH IO 130110\111x11}- /C/,_(1C CAYNGV01UNll (gil), rt 7� <br />DEPTH l0 WA CER (lc�i) - hf CALCULATED PURGE (gal) = 5 <br />WATER COLUMN H1.1GH 1 (ILci) _ / A' r ACTUAL PURGL (gal) <br />1-11-1_D MEASUREMENTS <br />DALIE rlNIE VOLUME TEMP CONDUCTIV11Y pH COLOR TURBIDII)' <br />(2300h1) (gal) (degrees F) (umhosicm) (units) (%Isual) (NTL) <br />-�7 f 3.�3 17� _ / y .max Il �' `7, r 1 < caoLl "t v <br />SAMPLE INFORMATION <br />SAMPLE DEPTH TO WATER SAMPLE TURBIDITY GZ✓ <br />80% RECHARGE YES NO ANALYSES <br />ODOR t'>t SAMPLE VESSEL / PRESERVATIVE <br />PURGING EQUIPMENT <br />Bladder Pump Bailer (Teflon) <br />Centrifugal Pump Bailer (PVC) <br />Pe__ Submersible Pump Bailer (Stainless Steel) <br />Penstalic Pump Dedicated <br />Other <br />Pump Depth <br />WELL INTEGRITY <br />REMARKS <br />SIGNATURE <br />SAMPLING EQUIPMENT <br />Bladder Pump Bailer (Teflon) <br />Centrifugal Pump CK—Bader ( PVC or c disposable) <br />Submersible Pump Bailer (Stainless Steel) <br />Penstalic Pump Dedicated <br />Other <br />LOCK# YZI -- <br />Page of <br />