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i <br /> SAMPLING INFORMATION SHEET <br /> • Client; <br /> CSN # Project No: 9Z-7-33 <br /> Site: S. 465ER0A!EE 1 f, Well Designation: 0 _Z� r- <br /> LD <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 SO% recovery <br /> Well Diameter: 2" �/ 3" _ 4" 6" g" <br /> Purge Vol. Multiplier- 0.163 0 367 0.653 1.47 2.61 gal/ft. <br /> Depth of well: S�O. Calculated purge: <br /> a) Depth to water: 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-- pH Turbidity !Volume <br /> Sample appearance: <br /> QC samples collected at this well: Loch:3-?j',3 <br /> Equipment replaced: (Check ail that appiy) <br /> 2" Locking Cap Lock #2357 <br /> 4" Locking Cap Lock #3753 <br /> Remarks: <br /> Signature Review G� <br />