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WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL SERVICES <br /> rout N amt rod a Name to icon Name age o <br /> F0j,Man G1a� 5 e 3r) 113—aG—O 7A4w— S' <br /> We] epi t Sounded Ueptht Sampling k4UJpMZ13t <br /> xUlontbo ag Well Tima pH Probe Na Temp.Probe Na Cotrd, Probe Na <br /> a Sampling Point <br /> Depth to Water(R) Date/Fina ( ) <br /> 5= 68 a-3-0o 9 �Yo 2 r_cr x.54 Gam_ 1643 <br /> 40 Well Dismetu(an) LHC Pteaenn LNC Tniclmaa 3 t•-r �. get a• 19.61 <br /> �/� t] Yes p No <br /> 4 <br /> Initial ci t of ater Well Volume nven <br /> ions amp ing Equipment 5 <br /> in Casing fft) <br /> f Dedicated p{Bladder Pump 6 <br /> System d Ballet <br /> Volume(gat) 2"citing -0163 gal/ft <br /> 3"eating a 0 367 gal/ft PVC Bailer 0 112 Inch w <br /> 4"casing a 0653 gallft Teflon ' 0 1 1/4 Inch Point ot Collection ime Samples Taken Date <br /> ' C) 45' casing = 0 826 gallft ❑3 inch PE Hose Q End of Bailer <br /> Volume to be Evacuated 6"casing a 1 470 gat/ft <br /> ❑ x3 q(.4 8"casing a 2610 gal/ft Sampling Port No, 0 Other Depth to Water(ft) Rddg=W? <br /> 10'casing a 4 080 gal/ft JC Yex (3 No <br /> V01ume Rate(gpm) Sample ColorC)a G1� oda Ar - ' <br /> Evacuation SedEmeot/PomIgn ` a * s <br /> Evicunted Evacuated Evacuated Emoted Marto <br /> C Sampling <br /> Stop Time �'�J S uence <br /> !r <br /> Stare Time Sample ID Numbot Volume Mme Preservative Aaalysls Lab <br /> ) <br /> Minutes o7-0 X11 �l:�s 1` c,1 b 3 .....� <br /> Amt Evacuated � Q0, 64 �� 1�=1 `� �1� 1 1, 3 <br /> Total Eva=ted � _gal <br /> Total Minutea �n min <br /> Evacuation Rate gpm <br /> umP rY eeovery Container Codes P a Plastle Bottle B a Brawn plass ml.milliliter Latter <br /> ❑ Yee No V a VOA C n Clear Olaas Other describe <br /> Time. Depth to Watet <br /> Depth to Weber During 'Fine Notes <br /> Pumping(ft) I <br /> 2 1 a TPH-g,BTEX k MTBE <br /> Depth to Water Recovery 2 n TPH-d <br /> fa 8095 Recovery Rate(gpm) 3. <br /> 4 <br /> 3 a 8260 Oxygenates <br /> Sampled Attu %Recovery at <br /> ❑ 80% Ree Cl 2 hrs Time of Sampling 5 f t <br /> �y�c7 i <br /> r = <br />