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ACTON * MICKEISON *van DAM, INC. <br /> SAMPLING/DEVELOPMENT INFORMATION <br /> SamPling/Development Point /?V-/ Project 00P <br /> Location ,..4e,,v Argy Work Order # <br /> Sample I.D. �� Date Sampled/Developed e6-.zG-93 <br /> Desm-be Sampling/Development Point Time - AM/PM <br /> Well Depth feet below MP Casing Diameter inches <br /> Depth to Water (below MP) 7.2, L'Y feet Date—//, -zc- s3 Tie /?/6 AM/PM <br /> Discharge Rate 02 gpm <br /> At least--3_ bore volumes have been evacuated before sampling. <br /> Sampling/Deveiopment Method: <br /> Tap Bailer Centrifugal Pump <br /> ✓ <br /> Submersible Other <br /> Pump intake or bailer set at feet below MP. <br /> Sample Appearance: 65�, Odor: <br /> Note any Sampling Problems: <br /> Note any Cleaning or Effort to Reduce Possible Cross-Contamination: WZCI*L. :.ek.•r+ ,,, h �... <br /> amples Collected: 3 Yd ->,t 4-0-,j <br /> EVACUATION/STABU ZATION TEST DATA <br /> Temperature Cumulative <br /> Corrected Volume of Water Pumping <br /> pH Conductance Temperature Water Level Removed from Well Rate <br /> Time (units) (umhos/cm) (°C) (nearest 0.01 foot) (gallons) (gpm) <br /> l2 1. /? 3, 19 748 W.C,1/ 1?- <br /> 27 4 zC.-) 3-21-- 2.0 <br /> i <br /> Bailing Start Time 112114 WL 72.G y <br /> Bailing Stop Time l a 2 7 <br /> mments: �L.'G <br /> Form Completed By: �R ,�W� Witnessed By: <br />