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Defta <br /> S � I SAMPLING INFORMATION SHEET <br /> Well No--��a— Project Name RVIASoq(ob S641"% Client �'P�1►S <br /> Location(address) Z S3`l W �Q1 <br /> Date Sampled/I G/ 05 <br /> Well Depth 9 2 ft below top of casing Casing diameter q inches <br /> DTW(below top of casing) )ti�`�� ft Time <br /> DTP ft <br /> Purging Method eSubmersible pump❑Bailer❑Centrifugal pump❑Other <br /> Sampling Method INDisposabie bailer❑Sampling port Samples collected <br /> GROUND WATER EVACUATION/STABILIZATION DATA <br /> Cumulative Volume of Water <br /> Conductance DTW Removed From Well <br /> Time Temperature H units umnos/cm Nearest 0 01 ft (gallons) <br /> XZ Zco Z2-S Z.-jS f5 <br /> Jo <br /> Comments <br /> Transportation(thermal preservation) <br /> Form Completed By Sampled By <br />