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.t <br /> WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL SERVICES <br /> mita ame sleet o z <br /> e ame to tine ame age o <br /> CES PER 37 3b wo L.D 2 �f <br /> Wei ciSounded t amp in utpment <br /> s ( �r• Morvtonog well Time pH Probe No Tem¢Probe No, Cond Probe No, <br /> ❑ amplrng Point 1 <br /> Depth to water(R.) Date(rime c O� ❑ Otho(desenbe) <br /> Sa 6Y 3- 1S - <br /> wlell Diameter(In) LMC Present? LHC'Ihtcltnna 3 <br /> 2 ❑ Yee All 4 <br /> Initial es t of ater e Volume verltorn Sampling Equipment 5 <br /> n Casing�ft) <br /> -� Dedicated ❑ Bladder Pump <br /> t— System ❑ Bailer 6 <br /> Volume lgal) Teasing ■0 16 3 ga11R <br /> yT ger V ❑ l(2 Inch ornt of LoPectPon I tine billoples Taken Date <br /> • 4' casing+0 653 galllt Tell 1 i/4 inch <br /> 4.S eating■0 876 gal/R ❑ inch ❑ PE Hose QEnd of Bailer r' 3_ ! 4�S <br /> Volume to tx Evacuated 6'easing+ 1 470 gallft Depth to Fater(ft) Refngented' <br /> s 3 'j <br /> x 4 8'cuing+2610 gal/ft Sampling Port No, Q Other <br /> Ya ❑ No <br /> 10'nstog+ 4080 gaE/R <br /> t <br /> Volume Rate(gpm) <br /> _ ■ �J Sample Color C LE�(� Odor <br /> 11 A j <br /> Evacwvvn SedrmentfForetgn 1 0/,`L'\� Iv <br /> Matta �`�LiT <br /> t;v■cuated Evacuated Evacuated Evacuated Sampling <br /> Sequence <br /> Stop Time <br /> Sample 1D Numbs Volume Time Preservah a Analysis Lib <br /> S[}rtrmeW-Z 2x 1 c EL <br /> 67T— <br /> Minutes <br /> Amt Evsewted 1 <br /> Tots) Evacuated i 2— <br /> Total Minute& mto <br /> Evacuation Rate gpm <br /> Container Codes P+Plastic Battle B a Brown Olass m)s milliliter L.+liter <br /> PUMP 077Recovery V+VOA C+Clear olass Other diatribe <br /> 3 Yea No <br /> ptcs <br /> Depth to Water outing Time 1 <br /> Titin Depth to Nater <br /> Pumping( R) <br /> 2 <br /> Depth to Nater Recovery <br /> for 80% Recovery Rate(gpm) 3 <br /> 4 <br /> Sampled After %Recovery at <br /> O 90% Ree ❑ 2 hrs Time of Sampl lag 5 <br />