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SAMPLING INFORMATION SHEET <br /> Well No CMN Protect Name "S OUPS�oeX�a�(y pp Client P46 <br /> Location(address) V53? �� � � J�'dat� A <br /> Date Sampled ,S / ,fol (9r5� <br /> Well Depth gg ft below top of casing Casing diameter inches <br /> DTW(below top of casing) �01 Z ft Time <br /> DTP ft <br /> Purging Method k Submersible pump ❑Bailer❑Centrifugal pump❑ Other <br /> Sampling Method dDisposable bader❑Sampling port Samples collected <br /> GROUND WATER EVACUATION/STABILIZATION DATA <br /> Cumulative Volume of Water <br /> Conductance DTW Removed From Well <br /> Time Tem erature ° H units umnoslcm earest 0 01 ft (gallons) <br /> `f A�r I MCI -7.475 9$1 t <br /> Is 4 .51 20.IT -1 .43 CIO/1 -7 <br /> q , 5q 21. 21 `7 , -3 1Qoo �5 <br /> Comments <br /> Transportation(thermal preservation) <br /> Form Completed By Sampled By <br />