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ACTON • MICKELSON • van DAM, INC <br /> SAMPLING/DEVELOPMENT INFORMATION <br /> Project Name <br /> Sam pling/Developaaent Point 'r r <br /> Sample I D Project No 101�S Dg <br /> Describe Sampling/Development Point Work OrdSr # <br /> Date_ 31 Z.j c y 5 <br /> Field Crew RC(o. - - <br /> Well Depth a3 feet below MP Casing Diameter y inches <br /> Depth to Water (below MP) {oy -1 feet <br /> Discharge Rate _ gpm Time _ -- 0(0 50 (Al 'PM <br /> Number of borehole volumes <br /> evacuated before sampling > 3 <br /> Sampling/Development Method 3 D3tX <br /> Tap X Bailer Centrifugal Pump <br /> Submersible Other <br /> Pump intake or bailer set at feet below MP <br /> Sample Appearance <br /> Note any Sampling Problems t'43t-I <br /> Note any Equipment Wasiaing <br /> • Samples Collected/Time C°. o-7' 55 <br /> EyACUA.TION/STA.BILLZATION TEST DATA. <br /> Temperature Cumulative <br /> Corrected Water Level Volume of Water Pumping <br /> PH Conauctance Temperature (nearest Removed from Well Rate <br /> Time (units) (umbos/cm) (°C) 0 OI foot) (gallons) (;pm) <br /> n� ' ra3 C3 05 �7 (08 �+�• 5 12 <br /> o-� zq `7 89 "7 Zz to5 <br /> Bailing Start Time a to 50 WL (4CA 1 <br /> Bailing Stop Time 0-1 450 WL to 5 4 Z, <br /> Comments <br /> Signature 1441 <br /> Date 3 Z )G} 5 <br /> f <br />