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SAMPLING INFORMATION SHEET <br /> Client: [112. <br /> # Project No: r 7 <br /> Site: Y � Wail Designations. <br /> 1 <br /> Purging Equipment: X 2" Disposahis hailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer i <br /> Sampled with disposal bailer: Teflon Bailer- <br /> . <br /> Well Diameter: 2" _ 3" _ 4" 6" $" ._.-. <br /> Purge Vai. Muitipiier: 0.163 0.367 D. 53 1.47 2.61 gdlft. <br /> Initial Messurment %marge Measurement <br /> Time:_�o R-- Time: Calculated purge: L -C)� <br /> Depth of well: .1 Depth to water: Actual purge: �! <br /> Depth to water: �. <br /> 'Meter Calibration T emo. E.C. pH Turgidity <br /> Date lnitiai reading <br /> 7ime� Adiusted reading <br /> Sampling Date: —77 <br /> Start purge: r' Sampling time: P 9 <br /> Time Tewin. E.C. pH Turbidity Volume <br /> r <br /> Sample appearance: <br /> QC samples collected at this well: Lack: � <br /> Equipment-replaced: (Check all that appiVI Note conaidon of repiacae item. <br /> 2" locking Cap: Lack #2357: <br /> 4" Locking Caa: Lack #3753: <br /> Remarks: ) <br /> ' Review <br /> Signature <br />