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WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL SERVICES <br /> X;amr rosea aName to muName' <br /> Li I IPA IR <br /> Sounded p t. pi089 wpment <br /> well (ft <br /> 3 Z Z ❑ Momtonng Well Time pH Probe Na Temp.Probe Na Cond Probe Na <br /> Depth to Water(ft.) Datame 0 g Point <br /> d 1 <br /> Othw er(detmlx) <br /> x-Y i LZ7' (D,f�f 2 <br /> Well Diameter(a LHC Present? LHC Ttudmaa <br /> 2 ❑ Yea No /1 3 <br /> (J 4 <br /> Initial[L Etna ftt o Water e Volume version Sampling tupment 5 <br /> B ) <br /> -1 , 59 Dedicated ❑ Bladder Pump <br /> Volume(gal) System (3 Bailer 6 <br /> Z"casing:0163 gal/ft <br /> 3'casing a 0 367 galla PVC Bailer ❑ 12 inch <br /> r'�lC 4"caning - 0653 gal/ft Teflon " ❑ 1 114 inch point of wlectioci Mme Tfampa laken. Date <br /> Volume 4caning a 0 q 3 inch <br /> Vole to tx Evacuated 6""caning. 1470 <br /> gal/ftJlft ❑ P$Hoag ❑ End of Bailer <br /> I',.x 3 ❑x 4 8'cuing a 2610 0/ft Sampling Pat Na ID Otbw Depth to Water(ft) Refngeotcd7 <br /> 10"canng a 4 080 PYft <br /> Q-,Yes Q No <br /> 3 ,-71 Volume Rate(gpm) Sample Color odor <br /> Evacuation Sedtmmt/Foragn <br /> Matter <br /> Evacuated Evacuaw Evacuated Evacuated <br /> Sampling <br /> Stop Time S � <br /> SVID ID Number Volume Time Pruervatrve Analysts lab <br /> Start Time / <br /> Mmutts �� <br /> Amt Evacuated <br /> Total Evacuated <br /> Total MLouua ova <br /> Evacuation Rue Spin <br /> Recovery Coatunet Coder P=Plastic Bottle B a Brown Glass ml a Iniltd1w L=titer <br /> ❑ Yea ❑ No V.VOA C a Clear Glau Other describe <br /> Tux Depth to Water <br /> Depth to Water During Time cies <br /> Pumfagg(0) 1 <br /> Depth to Water Recovery <br /> far 809h Recovery Rate(Spm) 3 <br /> 4 <br /> Sampled After %Recovery at <br /> Q 60%Roc. ❑ 2 his Time of Sampling 5 <br />