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SAMPLING INFORMATION SHEET <br /> Client: Project No: ,3 <br /> Site: S, CtfE,2D,L�E— _L�(�_ Well Designation: p <br /> L4 <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"F <br /> Purge Vol. Multiplier: 0.163 0 367 0.653 1.47 2.61 gal/ft. <br /> Depth of well• 7 Calculated purge: o? <br /> t :�1 Depth to water: Actual purge: a <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> tart purge: / Z Z Sampling time: Sampling Date: - 3 <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: ,o <br /> QC samples collected at this well: C) Loci <br /> Equipment replaced: (Check all that apply) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks <br /> Signature Review <br />