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�r r� rr r rl ■� � ar �■r rr r J■r � r■! <br /> SAMPLING INFORMATION FORM <br /> ® INTERNATIONAL <br /> TECHNOLOGY <br /> CORPORATfON <br /> I <br /> JOB NAME PAC_ JOB NUMBER jc(bR j� . �- SAMPLE ID NO. 3 M to/WELL NUMBER <br /> �cJ 11 <br /> CALCULATIONS <br /> EVACUATION CALCULATION AND <br /> MYYLD . MEASURED WATER LEVEL DEPTH l.f)_/,y tt MINIMUMMINIMUMPURGE VOLUME: EVACUATION RECORD <br /> --�=-=f- 9a1. <br /> MWD - MEASURED WELL DEPTH / _ , It (MIN. PURGE VOL. - 3 x WWV) DATE: 10' L L'9 3 <br /> SWH STATIC WATER HEIGHT ft ACTUAL PURGE VOLUME: <br /> (SWH - MWD - MWLD) —3 gal. <br /> D - CASING DIAMETERWELL PURGED DRY? (Y/N): —� 'TIME : <br /> EVACUATION METHOD: Pa <br /> WWV WELL WATER VOLUME �8�e qol WATER COLOR: <br /> (wwv . swH x 0.163 x I0/212 y WATER ODOR: INITIALS : <br /> MEASUREMENTS SAMPLING <br /> SAMPLE TIME RECORD <br /> {ECP PH CONDUCTIVITY TURBIDITY <br /> � WEATHER: <br /> s <br /> (Temp, and general condition) <br /> DATE <br /> SAMPLING METHOD: e,"L F <br /> TIME : JU- .2 <br /> MWLD PRIOR TO SAMPLING: stat. <br /> INITIALS : S k <br /> ADDITIONAL COMMENTS <br /> NAME (PRINT) NAME IPRINT) <br /> f <br />