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Delta <br /> 'IT SAMPLING INFORMATION SHEETA o <br /> ERviro <br /> OflSuttantSr-Inc. <br /> • Sample ❑)# kw-�_ Project Name- Project No <br /> ' 1'�Ocatioa (address) <br /> r bate Sgatpled: a / i�J / oe> Time: <br /> i%WlIie4Ammbly condition: Good Far Poor(If poor, see comments) <br /> Equ Opwnt Replaced: bolts locks locking cap <br /> Well' epth ft below top of casing Casing diameter uzches <br /> #df tq water(below top of casing) ft. Date: 1 ! Time <br /> #Well''-Casing Volume Multiplier: 0.16 for 2", 0.65 for 4", 1.47 for 6" <br /> it Tuikffig method: Submersible pump Hasler Centrifiigal 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 /> Sampling method: Disposable bailer Sampling port <br /> Samples collected Sample appearance <br /> Noce any sampling problems <br /> GROUND WATER EVACUATION/STABE=ATION DATA <br /> Cumulative Volume of <br /> Conductance Water Level Water Removed frnda Weil <br /> Time 'Temperature (OF) pH Units (wnnos/cm) (Nearest 0.01 ft) (gallons) <br /> /o <br /> E <br /> 4t I <br /> Comments: <br /> s <br /> F <br /> rFo=rmcompletad <br /> rtaboa(thermal preservabon) <br /> by: Sampled by: <br />