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42M C �A4 I� I SAMPLING INFORMATION SHEET <br /> Clienv �p�f CS" Project No: 2Z-Z,3-3- <br /> tSie: l�?D �X� Well Designation: yw _ <br /> LO <br /> Purging Equipment: 2" Disposable bailer <br /> 2" PVC bailer Submersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with disposal bailer or other: <br /> Well recharged to 80% recovery <br /> Well Diameter: 2" �z� 3" 41N _ 6" _ g" <br /> Purge Vol. Multiplier: 0.163 0 367 0 653 1.47 2.61 gal/ft <br /> Depth of well: ,7 / Calculated purge: <br /> Depth to water: h Actual purge: <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date initial reading <br /> Time Adjusted reading <br /> tart purge: Sampling time: Sampling Date: <br /> Time Temp. E.C. ply Turbidity Volume <br /> Sample appearance: <br /> CC samples collected at this well: Loch: aj <br /> Equipment replaced: (Check all that apply) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Loch #3753 <br /> Remarks: <br /> Signature Review /r�� <br />