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��4,y gv-"-r* &�",g <br /> Date 10— <br /> VZ <br /> 42 el L) <br /> VZ Na, <br /> S, W Set up tame <br /> Weather C '3011r-c-eaf <br /> Samplers tffq- <br /> WELL # NIW-3 <br /> HISTORIC CONCENTRATIONS <br /> Location Construction Depth 10'bgs <br /> Construction 2 inch pvc/ Depth to Packer <br /> Groundwater Zone Pump Intake <br /> Screened Interval 5-10'bgs Measured Depth <br /> Purge Setting Discharge Refill Depth to Water '7, 4 <br /> Sample Setting Discharge Height of Water Column 2- 7 :3 <br /> Volume of one casmg 0 <br /> Packer Pressure <br /> Purge Start Time Iloo Puree calculations <br /> Discharge Rate A/(14 ft x 163 gals / ft x 3 <br /> Purge End Time t I-Z C, Z i 3 3 gallons <br /> Time Gallons Temp.(-" PH EC Qf 5 Water clarity <br /> • IJ 03 r s a 201 1 -7, 3Z 6 2-r . 1-1"-!4 T-LI 9-R 1 0 <br /> / 0 -7 / 3 <br /> .t <br /> - - —-------- <br /> ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> 0 <br /> ITO-� 6,F4 A- so Is"Af 0 V0 <br /> 1 (3) 44- <br /> 6-f'40/A- SW <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br /> )et 6VVj--Y- V(-A-,f& f3r-olc-e--j woo-T st-cjr-c <br /> PID reading when well cap opened Disposal method of purge water <br /> Dissolved Oxygen reading Decontamination procedure None/Alconox-DI Rmse <br /> Turbidity Measurement <br /> Other notes <br /> IK Iq 6-1-4 D f> <br /> Sampler Signature(s) <br />