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SAWLiNG INFORMAnON SHEETM/AI Ca <br /> �viro�men�t <br /> nsutfants,Inc. <br /> Sample ID# <br /> p t1IA) 2--- Project Name' 4elclxProject No <br /> f Ppmtton (address) <br /> r ?ate SaMpled: � / ( l� I � Time. <br /> WO assembly condition Good Fan" <br /> Poor(If poor, ser comments) <br /> lrgwOM, ent Replaced: bolts lacks locking cap <br /> e Wellbepth ft below top of casing Casing diameter <br /> inches <br /> fid€tq water(below top of casing).�'!L—Z <br /> ft. Date: I I Time <br /> 10 flTCasung VOlume Multiplier- 4.16 for 2", 0.6.5 for 4", 1.47 for 6" <br /> 'fttk ng method: Submersible pump Bader Csntrt <br /> 1 Pump Other <br /> At leastwell volumes have been evacuated before sampling. <br /> TUbmg(qW' - 1. (near or previously used? was used b purge well <br /> Sampling method: Disposable baler Sampling Port <br /> Samples collected Sample appearance <br /> NOW any sampling problems <br /> GROUND WATER EVACUATIONIS ABELMATION DATA <br /> ...M Cumuiauve Volume of <br /> Conductance Water Level Water Removed from,Weil <br /> Time Temperatm ('F} PFI Units (umnosJcm) (U=est 0.01 ft) (gallons) <br /> V <br /> 4 <br /> Comments: <br /> T��on(thermal pmervation) <br /> Form completed by. Sampled by. <br /> i <br />