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�Q4 SAMPLING INFORMATION SHEET <br /> Client: Project No: 3 <br /> Site:�[�_� � -�� Well Designation <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" 3" 4" _ 6" _ g" <br /> Purge Vol. Multiplier: 0.763 0.367 0.653 147 2.61 gal/ft. <br /> Depth of well: J 7S Calculated purge: <br /> Depth to water: �� Actual purge: <br /> i <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> tart purge: Sampling time: Sampling Date: <br /> Thule Temp. E.C. ply Turbidity Volume <br /> Sample appearance: <br /> CC samples collected at this well: Lock: <br /> Equipment replaced: (Check all that appiy) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks: <br /> 1 <br /> Signature Review �— <br />