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•1 rf <br /> Delta <br /> In <br /> SAa�PLING INFORMATION SHEET <br /> Ervlro�m <br /> ef�I <br /> Consultants,Inc. <br /> • Sample lDr 4,2 Project Name Project No ,e <br /> f <br /> 1'�O doa (address) <br /> r Date Sampled-. <br /> Mohe4 assembly condition- Good Fam Poor(If poor, see comments) <br /> 1~quiAnent Replaced: bolts locia loclang cap <br /> We$' ]epth ft below top of casmg Casing diameter ruches <br /> g <br /> . �tlf tQ avatar(below top of caa�n� ft. Date: / / Time <br /> ViW asmg Volume Multiplier: 0.16 for 2", 0 65 for 4", I.47 for 6" - - <br /> 3 <br /> 'Pu4bg method: Submersible pump Bailer CentrIfugai Pump Other <br /> `int least well volumes have been evacuated before sampling. <br /> Tubing(type; (new or previously used) was used to purge well <br /> Sampling me*vd: Disposable barer Sampling port <br /> Samples collected Sample appea=ce -. . <br /> Note any sampling problems <br /> ' GROUND WATER EVACUATIONISTABLUZAITON DATA <br /> Cumutatme Volume of <br /> Conductance Water Level water Removed from Wall <br /> Time Temparature ('F) pH Units (umnos/cm) (Nearest O.OI ft) (gallons) <br /> larG�- <br /> ' 2a <br /> 40 <br /> t <br /> c4,anzents- <br /> LTri OPUtation(thermal pnwervation) <br /> Farm completed by:_ _ Sampled by: <br />