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` SAWLING 1NFORMA1710N SHEET ACD�anseult'anttsalne. <br /> rlr��=tiiornt <br /> le ID#_An" -� _ Project Name r� Project <br /> (address) <br /> bate Sampled: 1/Ja ! CDs T"tme: <br /> 'Vf�jlh �ssetnbly condition- Good Fair Poor(If poor, see comments) <br /> EqL i*eat Replaced: bolts locks locking cap <br /> Weflepth ft below top of casing Casing diameter inches <br /> , #df tQ water(below top of casing) & Date: ! / Time <br /> V4WC sing Volume Multiplier: 0.16 for 2", 0.63 for 4% 1.47 for 6" � <br /> 't I ur<�g method: Submersible pump Bailer Centrifitgal pump Other <br /> At least well volumes have been evacuated before sampling. <br /> Tubing (type; y - (new or previously used) was used to purge well <br /> Sampling trod- Disposable bailer Sampling port <br /> Samples collected Sample appearance <br /> Note any sampling problems <br /> . GROUND WATER EVACUAIU0N/STAB=AnON DATA <br /> Cumulative Volume of <br /> "" Conductance Water Level Water Removed fmm Wei[ <br /> Time Temperamm ("F) PA Units (umnos/cm) (Nearest 0.01 ft) (gallons) <br /> i <br /> E <br /> cotnments- <br /> i <br /> Tr4osportahoa(th==1 preservation) <br /> Form completed by: Sampled by: <br /> r <br />