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SAMPLING INFORMATION SHEET <br /> Site;�j y� ���`� sT Weli Designation: <br /> .5T"vc�rr�nl t�9-- <br /> Purging Equipment: 2" Disposable bailer <br /> 2" PVC bailer ubmersible pump <br /> 4" PVC bailer Dedicated bailer <br /> Sampled with disposal bailer: F Teflon Bailer: <br /> Well Diameter: 2" 3" 4" ,�� 6" 8" <br /> Purge Vol. Multiplier: 0 163 0 367 0 653 147 2.61 gallft <br /> Initial Measurment Recharge Measurement <br /> Time: Z/ /61/ Time: .'c/ T Calculated purge: <br /> Depth of well:rCJ717, Depth to water: Actual purge: <br /> Depth to water: 7.17-.;? <br /> Meter Calibration Temp. E.C. pH Turbidity <br /> Date Initial reading <br /> Time Adjusted reading <br /> Start purge: 0 Sampling time: C,,00 Sampling Date: !— <br /> rime Temp. E.C. pH Turbidity Volume <br /> ,:!f/, G o <br /> ' 1-13 _ 3 7, S-5-- <br /> C, SLI <br /> Sample appearance: C <br /> QC samples collected at this well: "l Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item. <br /> 2" Locking Cap: Lock #2357: 0 <br /> 4" Locking Cap: Lock #3753; 0 <br /> Remarks. t }x o14- <br /> Signature Review <br />