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ACTON • MICKELSON • van DAM, INC. <br /> SAMPLING/DEVELOPMENT INFORMATION <br /> Project Name ' y <br /> Sampling/Development Point M W - 3 <br /> Sample I D _ M W - 3 Project No b <br /> Describe Sampling/Development Point Work Order # <br /> Date 7 g^ 9 Y <br /> Field Crew is <br /> II <br /> Well Depth feet below MP Casing Diameter y inches <br /> Depth to Water (below MP) 70 Z S feet <br /> Discharge Rate gpm Time 3 ' �� A,IL/PM <br /> Number of borehole volumes <br /> evacuated before sampling <br /> Sampling/Development Method <br /> Tap Bailer Centrifugal Pump <br /> Submersible Other <br /> Pump intake or bailer set at feet below MP <br /> Sample Appearance <br /> Note any Sampling Problems <br /> Note any Equipment WashingaxGe-r U <br /> Samples Collected/Time Q <br /> EVACUATION/STABILIZATION TEST DATA <br /> i <br /> Temperature Cumulative <br /> Corrected Water Level Volume of Water Pumping <br /> pH Conductance Temperature (nearest Removed from Well Rate <br /> Time (units) (umhos/cm) (°C) 0 01 foot) (gallons) (gpm) <br /> 3; yS 4 , U� ?yyo 7� z `� a . 7 PPi 1 <br /> .S/ Zq30 75% ��f /S 8 P—, <br /> 3 . 3 3 6. (13 Z 'Y/0 7S_J "i z o 8 5P"' <br /> 3 ' S7 6,7,- Z370 78, 3 'f z s g SPM <br /> o 41 3 Z VOC) 7'. 2 7�pp� <br /> Bailing Start Time 3 3$ WL 70, Z S <br /> Bailing Stop Time '0 WL 7 o .Sb <br /> Comments 5 <br /> Signature QitQ•u-+-L Date 7-g <br />