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SAMPLING (NFQRMATiM SHEET <br /> 4 <br /> Client: }�E�ik_1JAI # � (�Pmlact No: <br /> Site: © , L''4l=P_.D 4E5E.r� won �3eaig fon. <br /> 1 t <br /> Purging Equipment: 2" Disposabis bailer <br /> 2" PVC bailer _ Submersible pump <br /> 4" PVC baler Dedicated bailer <br /> Sampled with dtsoosai baler: Teflon Baler: <br /> Weil Diameter- 2= I- r _ 4" — SO 8n — <br /> Purge Vol. Multiplier: 0.163 0.267 0.663 1.47 3.61 g8fifit. <br /> IrssttBi Meaaurment <br /> Recna a Measurement <br /> Time: Cc Time., Calculated purge: <br /> Depth of WOO:_-7G 11 Depth to wafer: Actual purge: <br /> Depth to water: f <br /> Meter Calibration ?emQ. E•C• pH TurbtdstV <br /> Date Initial reading <br /> Time Adjusted reading t <br /> Start purge: Sampling time: <br /> Tuna �.C, cb -" Turbidity Volume <br /> Sample appearance: <br /> L.,acko <br /> CIC samples collected at this well: <br /> Equipment replaced: (Check ail that applb) Note conation or replaced stem. <br /> Lock #2357: <br /> 2O Locking Cap: Lock #3753: <br /> V Locking Can: 0 <br /> 112 <br /> ,Remarks: QWE C <br /> ri►t?c vr1 M f•�) r <br /> Review <br /> ignature <br />