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• �C�T SAM QLEI) ` � L-111� 1n ATI �N WC l L <br /> WE1S5 AS.SOC1A1Es <br /> WATER SAMPLING DATA Well Maize (0- Date `�II�lB� Ti.c <br /> Job Name/Number Ck„J S%C_ - 305 o IniCialS — <br /> �,+-�„� Wn1-1 �P>�•irli;----Su��Cacas_�...Oclio�� -- <br /> LocaLion / <br /> WELL DAT Well type � (Describe: M - monitoring weld) <br /> Depth t Water ft (pump/stat)” Maximuir. Draw 6wn Limit (MDL) [t <br /> Well pth Et (sounde Well depth PC (Spec) <br /> Well iametcr i TOC height ove ground It Water el•v. _ It <br /> Vol a Evacuated Pumped Pum ed B. .led <br /> /Time: Stop Fo(mcSas CUnVars iOas <br /> Start, we L1 radius 1n it <br /> Total hrs/p 1n h ^ ht of water col in ft <br /> Total Evacuated gal. — X01, in cyl3 onrzh <br /> 7.40 gel/ft <br /> Evacuation ,6ate spm VZ" casing �0.163"aa1/ft <br /> V3" casing - 0.367 gal/ft <br /> Z <br /> Pump # type Bailer. At anda v4" casing - OA53 gal/ft <br /> yp V4 5"casing 0.626 gal/ft <br /> Hose # and type _ V6 casing X.47 gat/ft <br /> V0" casiva. 2.61 r.11ft <br /> Sam in Port: Ra Spm V luine gal, <br /> Loc tion/description <br /> itial height f water in casin - f volume gal, <br /> Evacuation at drawdown limit - x initial vol, ne gal, <br /> Evacuation sampling point = 1 x initial vo ume -• gal, <br /> Cal to be evac ated W gal, <br /> Water Col r: or; <br /> Descrip on of sediment an /or foreign ma er in sample: <br /> Point of collection: <br /> Dept to water during umping f time S pling ft time <br /> ]? ed dry? Af r gal, ecovery rat: <br /> ITIONAL COMMENTS LOCATION SKETC , ENVIRONMEb1T CONDITIONS, e. weather, <br /> an running nearby problems with quipment or s pling, etc., p p on/off <br /> times etc. over , <br /> CHEMICAL DATA <br /> Temperature OC Thermome r # S cific Conductan :• umhos <br /> PH Cal' ration ` 4.0 7.0, 0.0 ' Calibrati n Temp.__OC <br /> SAMPLES OLLECTED- <br /> Bot e/ Filtere Preservative <br /> Sampl Ca (size, u) (specify) <br /> ID /N ( pecify) (N = a) (R = Refr erated) Analysi Lab <br /> --- - ` m1 <br /> 7.ml <br /> ml <br /> Bottles:. P -- Polyethylene; Pp = Polypropylene; C o'r B - Clear/rown Class; <br /> f 0 - Other (describe) i <br /> Additional Cap Codes:, Py = Polyseal; V VOA/Teflon septa; M -`Metal <br />