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z <br /> Date: Q <br /> ' Set up time: f (S <br /> Weather:C't-OVo�/ pexe1V <br /> �: • Sam lers: Cdi J!Q <br /> WELL #5 <br /> HISTORIC CONCENTRATIONS: ppb. <br /> Location:Eastern-most Well,in lawn near Oleander hedge Total Depth(measured)!�j j .bgs. <br /> Construction:4-in/PVC Depth to Packer:NA <br /> Groundwater Zone: Pump Intake: NA <br /> Screened Interval: ft.bgs. <br /> Purge Setting: A) Itr Depth to Water: , <br /> sample Setting. A)I - Height of Water Column: <br /> 11 Volume of one casin . (2� <br /> y 4 <br /> Packer Pressure: PIA- <br /> Purge Start Time: J I IS Pllr=calculations <br /> Discharge Rate: •ft.x.653 gals. / ft.x 3'= <br /> Purge End Time: ig <br /> ���' .�/• allons k <br /> Time Gallons Tempfl H EECjj— <br /> Water clari Pn's r r� opt , <br /> E Z Vio-oo r <br /> eel <br /> DD <br /> 17, 1r S Fl L I <br /> ANALYSES REQUIRED SAMPLE TIME CONTAINER TYP FILTRATLQN <br /> TPH-Diesel 2 15 1 Liter Amber Glass <br /> PNA's y ILiter Amber Glass �] 1 <br /> E _ FIELD OBSERVATIONS(Well condition,repairs needed) <br /> Zo8 1 - 44 r <br /> PID reading when well cap opened: Disposal method for purge water:Drummed On Site <br /> Dissolved Oxygen reading NA Decontamination procedure:Alconox wash/DI rinse k <br /> i <br /> f <br /> Turbity Measurement:NA <br /> Other notes: <br /> i <br /> ' Sampler Signature(s) <br />