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Delta <br /> SAWLING INFORMATION SHEET ACansultants, <br /> Mc <br /> Sample 13M 4-+J —/'7 Project Name. / i`s f Protect N4�f4 J r� d'� <br /> 14=tton (address) <br /> r7aoe SaMgled: ©S Time <br /> + ''w' e2if bSsembiy condition: Good Fair Poor(If poor, see comments) <br /> Equipment Replaced: bolts locks <br /> locking cap <br /> 4 Weil' epth ft below i of casing Casing diameter taches <br /> , ptff tq water(below tog of casing) ft. Date: ! / <br /> Time <br /> WeffCasing Volume Multiplier: 0.16 for 2", 0.65 for 4", 1.47 for V <br /> `Aum g method: Submersible pump Bailer Centrifugal pump Other <br /> At Ieast well volumes have been evacuated before sampling. <br /> 'tithing(V= - "";1. (new or previously used) was used to purge well <br /> Sampling method: _Disposable bailer Sampling port <br /> Samples collected Sample appearance <br /> Now any sampling problems <br /> GROUND WATER EVACUATION/STAMAZATION DATA <br /> Cumulative Volume of <br /> " ( Conductance Water Level Water Removed from Well <br /> Tune Semperadnre{"17 pH Units (umaos/cm) (Nearest 0.01 ft) (gallaos) <br /> Comments. <br /> T"awortahm,(thermal pteservation) <br /> Form camplewd by: Sampled by. <br />