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as,5 � � <br /> Date /p <br /> - 3- <br /> E ti Setup time ..r 13 l S <br /> �a Weather <br /> �� ° <br /> R�� � { �'� `����i�l�E s � Samplers <br /> WELL # MW-2 <br /> HISTORIC CONCENTRATIONS <br /> Location Construction Depth 15' bgs <br /> Construction 2 mch pvc/ Depth to Packer <br /> Groundwater Zone Pump Intake <br /> Screened Interval 5-15' bgs Measured Depth <br /> Purge Setting Discharge / Refill Depth to Water t_, <br /> Sample Setting Discharge Height of Water Column <br /> Volume of one casing I <br /> Packer Pressure <br /> Purge Start Tame Purge calculations <br /> Discharge Rate ;�� sl _ �_._, �ft x 163 gals / ft x 3 = <br /> Purge End Time- 1,3_3 0 .-_=gallons <br /> Time Gallons Temp pH EC Water clarity <br /> E 3 ov 2 G , a `7- `i 73 Sc-t 1. W" Tv""L? <br /> ' L►® �, , 1d2 <br /> ANALYSES RE UIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> G0a1SM 1331" (3)q 6Y,L 1/oras -� ---� <br /> 13"fE�c� gpv XP- CS 0Z. 0 <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br /> YID reading when well cap opened Disposal method of purge water <br /> Dissolved Oxygen reading Decontamination procedure None/Alconox-DI Rinse <br /> Turbidity Measurement <br /> Other notes <br /> / l�7H D <br /> Sampler Signature(s) <br />