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SAIMPLlNG INFORMATION SHEET Environmontal <br /> oelta <br /> Oansuitants,Inc. <br /> ple IDlt mw_� Project Name: � "'� �1fl�� Project No. �DOa3-0"1 <br /> .ocation(address) 244% We4- 4wewoy,, <br /> )ate Sampled: 10 / �`Z- / OLf - Tune: <br /> Wellhead assembly condition: 2" Good Fair Poor (If poor, see comments) <br /> .quipment Replaced bolts locks locking cap <br /> Well Depth 5'9 ,15 —ft below top of casing Casing diameter 2 inches <br /> )epth to water(below top of casing) SQ,12 , ft. Date: _� / �z / t""4 Time <br /> Well Casing Volume Multiplier0.16 for Z" 0.65 for 4", 1.47 for 6" <br /> 'urging method: Submersible pump Bailer Centrifugal pump Other <br /> #t least 3 well volumes have been evacuated before sampling. <br /> Tubing(type: (new or previously used) was used to purge well <br /> iatepling method: x Disposable bailer Sampling port <br /> samples collected Sample appearance <br /> dote any sampling problems <br /> • GROUND WATER EVACUATION/STABILIZATION DATA <br /> Cumulative Volume of <br /> Conductance Water Level Water Removed from Well <br /> Time Temperature (°F) pH Units (=noslctn) (Neatest 0.01 ft) (gallons) <br /> 2njb g.�- to 2,2- <br /> 2A <br /> z20. E $ .5Z loft 3 <br /> :on=ents• <br /> Onsportadoa <br /> (thermal preservadon) <br /> 'ortu completed by: Sampled by: <br />