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i <br /> SAMPLING INFORMATION SHEETDelta <br /> ACansudtants,�l Inc, <br /> FSample ' 2 f� _- Project Name, �� Project No QJ ddress) <br /> une-sembly condiuon Good Fair 'Poor(Yf poor, ser comments) <br /> Eq#pent Replaced: bolts locks loclomg cap <br /> Welf beptlt ft below top of casing Casing diameter Inches <br /> ,ltf€;bq water(below bop of casing) 3� ft. Date: / ! Tune <br /> Wt,R uffig Voiume Multiplier: 0.16 for 2% 0.65 for a", 1.47 fbr 6" <br /> 't `Pnrkffig method: Submersible pump Baler Centrifugal pump Other <br /> ,At least well. volumes have been evacuated before sampling. <br /> Tubing (type= (new or prevtoasiy used) was used to purge well <br /> Sampling method' Disposable bailer Sampling port <br /> Samples collected Sample appeamlice <br /> Note any sampling problems <br /> GROUND WATER EVACUATION/STAmUZATTON DATA <br /> cumulative Volume of <br /> " Conductance Water Level Water Removed from Well <br /> Time = Temperature ("F) PH Units (umuos/cm) (Nearest 0.01 ft) (gallons) <br /> comments: <br /> Trawponatioa(tJ ntmal pteservahon) <br /> Form completed by: Sampled by: <br />