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SAIN PLING INFORMATION SHEETDelta <br /> * A& Envimomentai <br /> consultants,Inc_ <br /> -------------- <br /> Sam le [D# �w-2 �' � - <br /> p Project Name: -T� �� �� Project No_"MMS-(}a'1 <br /> .'Jocadon (address) 24LM AnEVA6,,, I..m (2A <br /> "Date Sampled: 1 1 Ifo / f)q Time: <br /> ''V4� lte assembly condition: _Good Fair Poor(If poor, ser comments) <br /> •Equij)me:zt Replaced_ bolts locks locidng cap <br /> Wei l.7eith_ ��_` 5 ft below top of casing Casing �-' <br /> dia>nerer inches <br /> ;Ieptlf W water (below top of casing) ft_ Date: Time <br /> ?Nsrlt'"acing Volume Multiplier: 0.16 for 2", 0.65 for 4", 1.47 for S" 4410,,5 <br /> 'ung medlod: Submersible pump Bader _ _Centrifugal. pump Other <br /> 'At Ieast 3 well volumes bave been evacuated befbre sampling. --�r <br /> Tttbix g(type: 1, (new or previously used) was used to purge well <br /> Sampling method:_ 4 Disposable bailer Sampo PQM <br /> Samples collected Sample appearance <br /> Note any sampling problems <br /> i <br /> GROUND NATER EVACLTATI0N/STABEEjZAT7pN DATA <br /> Cumulative Volume of <br /> Conductance Water Level Water Removed from Well <br /> Time Temperature CF) pH Units (umnoslcm) (Nearest 0.01 ft) (gallons) <br /> r2`Z -24 -3 3 ►-L i i� a73 <br /> 71 60 <br /> 1 ,311 <br /> comments- <br /> Tr2m5?Grtation'(thermal preservation) <br /> Form oomph by: <br /> Sampled by: <br />