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ACTON . NICICELSON • van DAM, INC. <br /> SAMPLING/DEVELOPMENT INFORMATTON <br /> Project Name LAe1'A <br /> Sampling/Development Point rant <br /> Sample I D Project No �q�Q D3 <br /> Describe Sampling/Development Point Work Order <br /> Date 3 5 <br /> Field Crew RG(.. <br /> ri <br /> Wel[ Depth g'a feet below MP Casing Diameter _ _ �_ _ inches <br /> Depth to Water (below MP) feet <br /> Dischazge Rate gpm Time AM/PM <br /> Number of borehole volumes <br /> evacuated before sampling 7 3 <br /> Sampling/Development Method <br /> Tap Bailer C--ntnfugal Pump <br /> Submersible Other <br /> E <br /> Pump intake or bailer set at feet below :VIP j <br /> Sample Appearance <br /> Note any Sampling Problems <br /> Note any Equipment Washing �— <br /> Samples Collected/Time S <br /> 1 <br /> I <br /> EV kCUATION/STA.BILIZATION TEST DATA <br /> Temperature Cumulative <br /> Corrected Water Level volume of Water Pumping <br /> pH Conductance Temperature (nearest Removed from Well Rate i <br /> Time (units) (umhoslcm) (°C) 0 01 foot} (gallons) (gpm) r <br /> f E <br /> I <br /> Bailing Start Time WL <br /> Bailing Stop Time WL <br /> COmments Mvi�3 S SOrr1 `t Q <br /> Signature Date <br />