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' ��' �i" ��ISSASSOCIATES <br /> WATT SdMpLING DATA V,-!I1 Name nn Co � <br /> Job M=CNumber. _ Time <br /> W _ h- �- �3bS -n 1 _ Initials <br /> Loextion 1 _ <br /> WEI3 E1ATA Well L-yp (Descr e; M - it, itoring w 1) <br /> s Dept Water fC ( p/staC) ximum Drac 6wn Limit MDL) ft <br /> Well til f (soundcd) ell depth ft (spe <br /> Wel a is1Cter __ in. TO height abov round '- ( p <br /> V u Evacu ted: rum ed g ft W er elev. ft <br /> Pu ed ailed <br /> Tn1i>�� op <br /> Start Fonm.la onversions <br /> hrs/min r ^w 1 radius in CL <br /> h - Lar watar col in ft <br /> Tuacpm uated g. v in Cyl. -Jfr2f% <br /> EV <br /> tion Rat 48 aalJft3 <br /> _ V2•• cast" 0.163 alfft <br /> / V3•• casing 0.36elJft <br /> P and ype Baii1 and type f V4^ casing -a. 53 Gallic <br /> type V4 5" casing 7'0-820 galfrt <br /> V6•• casing /1.'7 galJft <br /> Sa Port: Rpt gpm Vol e <br /> V6" casit 2.61 gallfL <br /> Lo /descripti n gal. <br /> I anal. Ileight f wa r in casing t vrolume - <br /> vac-ation at rawd limit - 3 x initial v ume - gal. <br /> Hvar-cation a sale ing point - x initial olume - Sal. <br /> gal. <br /> Water Cal tal to be a acuated - ga7.. <br /> Desceip `an o sediment a or foreimatodor:er sam e: <br /> Point co lection: <br /> Dep to ter durin pumping ft t Sampli:iS ft t' e <br /> F 7 ter g . Recovery 1 to <br /> ADD <br /> tart <br /> van CO near <br /> LOCATION CETCH, ENVIRO AL COND IONS, e. <br /> near , problems ith equipmen or samplin etc. , pump on/weaer, <br /> f <br /> times etcc.. ov r <br /> CH CAI. DATA <br /> Te tune OC Th ometer # <br /> 5pecif' Conductance ' umbos <br /> P C ibrat;on 4-0. 7 10,Q Calibration T <br /> p. oC <br /> S COLLECTS <br /> Battle/ Filtered reservative <br /> S e Cap (size, u) (specify) <br /> ID o_ ml (Spec j ) (N - No) (R - Refrig ated) Analysi Lab <br /> ml <br /> ml -- <br /> _ .nil •'f �_ <br /> F ml <br /> ml <br /> ;bottles: 1' - Polyethylene; pp - Polypropylene; C or B Clear/Brown" Class; <br /> [ -- Other (describe) , �' / <br /> Additional lap Codes: Py - Pulyseal; V ., VOA/Teflon se ta; M .. Meta{ <br />