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a <br /> f <br /> WATER SAMPLING DATA FORM PARKER ENVIRONMENTAL SERVICES <br /> ro cct 4,0, Wcjl N ane <br /> t time Nams age a <br /> c-H`i�A Tz- <br /> Well <br /> apt tSoundedep t Sampling 14lwpment <br /> Moatnng Well Time pH Probe Na Temp. <br /> Probe Na Caad Na <br /> 7 <br /> e ! 2- ❑ Ssmpltoog Point 1 30 -- V <br /> 2± <br /> Depth to Water(ft.) Dater e Z p Other(describe) 2 <br /> 2s . � 9 q --? -9 EI �7 1 p <br /> Well Diameter(in.) LHC Pmsent? ` LHC Thickness 3 <br /> El Yes No <br /> Point O ection noe Samples en <br /> n cit a water e o ume onvets&ons Sampling Equipment f�n _ z <br /> to Casing(ft) p PE Hasa *,EM of Badu t V -- <br /> b Dedicated Q Bladder Pump Cl Other Depth m Water(ft) R+stngewed? <br /> b 7 System ❑ Bailer $ Ya C] No <br /> domC(gal) Ft easing.0163 gal <br /> r ing-0364-gallft� simple or <br /> PVC Ba&lrt ❑ 1R inch r <br /> 7 4-casing=0653 gallft Teflon " UK 114 inch <br /> 4 5' casing=0 826 gal/ft Cl 3&orb <br /> ume to vOnnt 6"easing= 1 470 ga1/ft a 3&meal orngn <br /> x 3 ❑x 4 8"cas&Dg 2610 gal/ft Sampling Port Na Matter �� <br /> 10"casing.4 080 gallft <br /> olume ate(llpm sampling .– <br /> s Sequence <br /> simple um r Volum; I ime Ana ytu <br /> Evacuation <br /> Eveauated Evaantad Evacuated Evacuated <br /> Stop Time <br /> Start moss <br /> Minutes <br /> Amt Evaetsatod <br /> Total Evaatated ` get <br /> TeW Mimace min <br /> EHCtntiOn Rate gpm <br /> at <br /> [airier ea - asnc Settle a rows a m a milliliter n Wer <br /> um cy Alter Recovery V=VOA C a Clear Glata Other-desenbo <br /> p Yea ❑ No " <br /> Time Depth to Water <br /> Depth to Water Donng Time Notes <br /> i <br /> P—P&ng(ft) 1 <br /> 2 <br /> epth to ater ecovery <br /> far 8096 Recovery Rate(gpm) <br /> 4 <br /> Sampled After %Recovery at <br /> 0 80%Rea p 2 bra Time of Sampling S <br />