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sAWLIrrG INFORMATION S=T Delta./. Enviro*rnental <br /> consultants*Inc. <br /> Sample 1D# � Project Name: k e-5 ,* U1 0%V <br /> Projeci No.`DtDc3~ovr—i <br /> ,'�Dcation (address) `� i <br /> date Sampled: ! _[ / p Time: <br /> 'Whasse�biy condition: Good Fair Foos(If poor, see comments) <br /> E" gnent Replaced: bolts _ locks lacking cap <br /> We11et12 +� ' ft below top of casing Casing diameter <br /> 5Y' es <br /> lo <br /> ptif`tq water (below top of casing) ,fig ft. Date: I / Tune <br /> ,; I #!''Casing Volume Multiplier: 0.16 for 2", 0.65 for 4", 1.47 for 6" <br /> `Pu�g method: Submersible pump Bader Centrifugal pump Other <br /> 'At least well volumes have been evacuated before sampling. <br /> Iubilig (type: . (new or previously used) was used to purge well <br /> Sampling tnet#lod: _. C Disposable bailer Sampling pon , <br /> Samples collected Sample appearance <br /> Note any sampling problems <br /> GROUND WATER EVACUATION/STABUAZATION DATA <br /> Cumulative volume of <br /> Conductance Water Level Water Removed from Weil <br /> Time Tamperature (-F) pH Units (umnos/Cm) (Nearest 0.01 ft) (galloIIs? <br /> 19 33. <br /> t a� tib.s <br /> 3,L4 <br /> TOspoRation(thermal preservation) <br /> Form completed by: <br /> Sampled by_ <br />