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w � <br /> SA�WLMG INFORMATION SHEET ace <br /> //�► n lta <br /> ta <br /> su[tants,Inc. <br /> 'JSample IDS.l2GJ :3 ^^ Project Name. - �/"�J Project No <br /> i'Peatroll(address) <br /> r Date Sampled: Time: <br /> 4 <br /> i WOheaIssembly condition: Good Farr Poor(If poor, see comments) <br /> EgiuOpeat Replaced: bolts locks loclang rap <br /> Wef Depth In z ft below top of rasing Casio diameter <br /> Vii• g inches <br /> + pdf tq water(below top of casing) ft Date: ! ! Time <br /> WeNC-asing Volume Multiplier: 0.16 for 2", 0 6.5 for 4", 1.47 for 6" --- <br /> `t g method Submerstble pump Baffler Centrifugal Pump Other <br /> At least well volumes have been evacuated before sampling. <br /> Tubing (type: (new or previously used) was used to purge well <br /> 5amplmg metbod: Disposable baiter Sampling port <br /> Samples c:oliecfed Sample appearance <br /> Note any sampling problems <br /> t <br /> GROUND WATER EVACUATIOMSTAiur ATION DATA <br /> tp Cumulative Volume of <br /> Conductance Water Level Water Removed from Well <br /> Time s Temperapue ('� pH Units (umnoskin) <br /> (Nearest t?.Ol R) (galiaus) <br /> e- <br /> I <br /> I <br /> Commeuts. <br /> t <br /> TmWoita4ou(thermal p=erntton) <br /> Forte eompieced by: Sa Tled by: <br />