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ACTON . MICKELSON • van DAM, INC. <br /> SAIII'LINGIDEVELOPNMNT INFORMATION <br /> • Project Name LA°1'� <br /> Sampling/Development Point^ ` a'a <br /> Sample I D Project No <br /> Describe Sampling/Development .Point Work Order # <br /> ria i24 wf to Date -317Z- <br /> Field <br /> 31ZField Crew RGCa <br /> rr <br /> Well Depth cg's feet below MP Casing Diameter y inches <br /> Depth to Water (below MP) V 3 feet <br /> Discharge Rate gpm Time ap?vf <br /> Number of borehole volumes <br /> evacuated before sampling 7 3 <br /> Sampling/Development Method 3 A66t <br /> Tao X Bader Centnfugal Pump <br /> Submersible Other <br /> I <br /> Pump intake or bailer set at feet below MP <br /> Sample Appearance <br /> Note any Samvling Problems ? � <br /> Note any Equipment Washing <br /> Aft Samples Collecte(VTime tea- o <br /> EVACUATION/STABILIZATION TEST DATA. <br /> Temperature Cumulative <br /> Corrected Water Level Volume of Water Pumping <br /> pH Conductance Temperature (nearest Removed from WeLI Rate <br /> Time (uruts) (Umhos/em) (°C) 0 01 foot) (gallons) (gpin) <br /> 0 `1 0 <br /> 7-q 1 -7 83 b5. 5 1 <br /> Bailing Start Time Opt' riC WL int. 31 <br /> Bailing Stop Time O q WL Wo. S b <br /> Comments <br /> Signature Date 31 Z- of S <br />