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yl <br /> SAMPLING INFORMATION SHEET <br /> Delta <br /> I/n/ICOnsultant5u � 'Inc,tar� <br /> • Sample IDIS—A - Project Name. Project No <br /> f' .Ocaaon (address) 25 3 !.-� � <br /> r <br /> ' Date Sampled: � / � / DCJ Time <br /> 'W0092t Usembly coadinon Good Fair Poor(If poor, see comments) <br /> Equiopent Replaced, bolts locks locking cap <br /> L We$ ?epth c� ft below top of casing Casing diameter tncltes <br /> ptii tq water(below top of caste ft. Date: I I Time <br /> We1P-using Volume Multiplier. 0.16 for 2", 0.67 for 4% 1.47 for b" <br /> `P'utkbg method: Submersible pump Bailer Centrifugal pump Other <br /> before <br /> At least well volumes have been evacuated bere sampling. <br /> Tubing(type; • t. <br /> -- .,. - (Dew or Previously used) was used to purge well <br /> Sampling method: Disposable bailer Sampling port <br /> Samples collected Sample appeardnca <br /> Note any samphug problems <br /> GROUND WATER EVACUATION/STA E=&TI4N DATA <br /> • Cumutauve Volume of <br /> " Conductance Water bevel Water Removed fiam Well <br /> Trine = Temperature ("F) pH Units (umnoslcm) (Nearest 0.01 ft) tgalloas) <br /> /7--s' r <br /> ,.o Z A:2 <br /> r <br /> Qmn mts <br /> TRAWIrtatton(thermal pmservattou) <br /> l?orm completed by: Sampled by: <br />