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"'A <br /> �nw <br /> SAWLING INFORMATION SHEET Delta <br /> ////,k Cnvrron.nenta! <br /> Ansultants.lnr, <br /> . Sample 1DG.�4l/ Protect Name <br /> . I-WOM1922fbSembly <br /> )-ocation(address) Project Na <br /> rbate Smpied: 12 / �5 / � Time <br /> I <br /> condition Good Fair Poor(If poor, see comments) <br /> EquiAzent Replaced bolts locks loclnng cap <br /> r wefl'bepth ft below top of casing Casing diameter caches <br /> ..l�Odf tq water(below to of ' <br /> p �� ft. Date: �_/ I Time <br /> 1'4MCasing Volume Multiplier: 0.16 for 2", 0.6.5 for 4", 1.47 for 6" <br /> `Patkiixg medxxt Submersible pump Bader Centrifugal pump Other <br /> At least we11 volumes have been evacuated before sampling. <br /> Tubing (type; 1. (new or previously used) was used to <br /> Purge well <br /> Sampling amethad• Disposable bailer Sampling port <br /> Samples collected Sample appearance <br /> Note any sampling problems <br /> GROUNI) WATER EVACUATION/STAEU-T XnOK DATA <br /> r —0 Cumulatme Volume Of <br /> Conductance water Level Water Removed from,Well <br /> Tunsx Temperatnm ("F) pH Units (umnos/cm) (Neatest 0.01 ft) (govo�) <br /> -3, 12�71'� <br /> i <br /> w <br /> Comments <br /> z <br /> Transpvrtatcoa(thermal pmarvatcon) <br /> Form completed by: Sampled by. <br />