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Delta <br /> SAMPLING INFORMATION SHEATAcansultantz, <br /> Inc. <br /> iSample D)# MIO,/ Project Name Project No pg <br /> 1)4cadoa (address) T~ <br /> " late Sampled: C / s / CMCJ Time <br /> i -W+ e:0t�Ssembiy condition- (.food Fair Poor(If poor, ser comments) <br /> EquiAptent Replaced: bolts lodes loclang cap <br /> L a(t tl'bepth ft below top of rasing Casing diameter uic}les <br /> J�k#df tq water(below top of castn O ft. Date: / ! Time <br /> t4WCasing Volume Multiplier: 0,16 for 2% 0.65 for 4", 1.47 for 6" <br /> i Putking method: Submersible pump Baiter Centrifugal pump Other <br /> At least well volumes have been evacuated befbre sampling. <br /> Tubmg(type: (new or previously used) was used to purge well <br /> Sampling method: Disposable bader Sampling port <br /> Samples collected Sample appe=uce <br /> Note any sampling problems <br /> GROUND `PATER EVACUATION/STABILIZATION DATA <br /> *, Cumulative Volume of <br /> Conductance Water Level Water Removed from Well <br /> Ti= Temperature ("F) pH Uaits (umnos/cm) (Ne uest Q.O I ft) (gallons) <br /> r[ l 7 7- <br /> l3 <br /> i <br /> Comments- <br /> 4 Tnuportaaoa(thermal preservation) <br /> harm completed by: Sampled by- <br />