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Date <br /> 9 <br /> Setup time p '2 TY <br /> �x <br /> � Weather C i,ea r <br /> Samplers 7t��t DS/3 <br /> WELL # MW-3 <br /> HISTORIC CONCENTRATIONS <br /> Location Construction Depth 10' bgs <br /> Construction 2 inch pvc/ Depth to Packer v4 <br /> Groundwater Zone Pump Intake NA- <br /> Screened Interval 5-10'bgs Measured Depth V <br /> Purge Setting Discharge Al-11 Refill AIA Depth to Water . ,Z <br /> Sample Setting Discharge vyt Height of Water Column •Ty <br /> Volume of one casmg O• a e, x <br /> Packer Pressure Al <br /> Purge Start Time Q F 3 6 Purge_calculahon_s <br /> Discharge Rate .v j 3``/9' ft x 163 gals / ft x 3 <br /> Purge End Tune p 3 1. 93 gallons <br /> Time Gallons Tempo F pH EC Water clarity <br />> <br /> 02-ST 0,S [c- ?.CSA 51, ,-A c <br /> O / . O f• 9, 7.7 0 <br /> 3 72. v - 6y 1 �{ <br /> ANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION?- -Py-,j ?b►sAl a v iI <br /> C3) 0 c yo � -- <br /> DTEX 86,10 ,10 f,�s <br /> FIELD OBSERVATIONS(Well condition,repairs needed) <br /> PID reading when well cap opened AIA Disposal method of purge water 1) - <br /> Dissolved Oxygen reading v A Decontamination procedure None/Alconox-DI Raise <br /> Turbidity Measurement ,v <br /> Other notes <br /> Sampler Signature(s): <br />