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•` 'n4 <br /> SAIM PLING INFORMATION SHEET ��j Delta <br /> ////Ak ns <br /> attants,Inc, <br /> • Sample ID# Project Name. Protect NobP49X' <br /> I)ACation (address) <br /> bate.SaMpled: Time: <br /> r <br /> -W#PtM assembly condition- Good Fair Poor(If poor, see comments) <br /> EgtuPpent Replaced: bolts lock locking cap <br /> We#i-3epd3L ft below top of casing Casing diameter taches <br /> df tq water(below top of casing) S'�G. s Z fL Date: I I Time <br /> eli?Castng VOlume Multiplier: 0.16 for 2", 0 65 for 4", 1.47 for 6" <br /> 1 `Putkl"ng medwd: Submersible pump Bailer Centrifugal pump Other <br /> At least well volumes have been evacuated before sampling. <br /> Tubes( . (new or previously used) was used to purge well <br /> Sampling mem: Disable bailer Sampling part <br /> Samples collected Sample appea� <br /> Now any sampling problems <br /> GROU" WATER EVACUATIONISTABEUZATION DATA <br /> Cumulative Volume of <br /> w Conductance Water Level Water Removed ham Well <br /> Tuna Tempccatnns("IF) pH Unuits (umnoslem) (Nearest 0_01 it) (gallons) <br /> lir 5 <br /> Comments_ <br /> 'r=Wpartatxoa(thermal p=Arvatian) <br /> farm cvulpleted by: Sampled by. <br />