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r4 <br /> SAtI'IPLING INFORMATION SHEETACa"sultants,Delta <br /> Mc. <br /> isample ID# &e J—/,e> Project dame. Project No <br /> 1).ocation(address) <br /> r <br /> date Sampled: 1 f I Dc�:> Time <br /> J'W49"ISSembly condition- Good Fair Poor(If poor, see comments) <br /> Eg#peut Replaced: bolts locks locking cap <br /> Weft bePth ft below top of casmg Casing diameter tncltes <br /> tQ water(below top of=mg) 6= ft. Date: I J Time <br /> 'geWCasisg Volume Multiplier: 0.16 for 2% 0.65 for 4", 1.47 for 6" <br /> f � g method: Submersible pump Bailer Centnf%al 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. Disixmble bailer Sampling port <br /> Samples collected Sample appearance <br /> Note any sampling problems <br /> ' GROUND WATER EVACUATION/STABIL ZA TION DATA <br /> Cumulative Volume of <br /> Conductance W2ter Level water Removed from wall i <br /> Time Temperature ("F) PH Uluttss� (umnodcm) (Nearest 0.01 ft) (gallons) <br /> p 8i / <br /> 2- <br /> 7- o g'• <br /> I <br /> E <br /> C:ommeats• <br /> e <br /> Tr.�nspoctatton(thermal gteservagon} <br /> 1~ccm completed by: Sampled by, <br /> 3 <br />