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2024-11-22_REVISION - M1999120 (4)
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2024-11-22_REVISION - M1999120 (4)
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Last modified
11/25/2024 8:52:19 AM
Creation date
11/25/2024 8:31:59 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M1999120
IBM Index Class Name
Revision
Doc Date
11/22/2024
Doc Name
Request For Amendment To Permit
From
L.G Everist, Incorporated
To
DRMS
Type & Sequence
AM3
Email Name
NCG
JLE
EL1
Media Type
D
Archive
No
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GROUND WATER SAMPLING FIELD DATA SHEET <br /> SAMPLER ASSISTANT <br /> SITE PROJECT MANAGER <br /> Well No. "Date: Time: "Personnel: <br /> Weather. Well Inspection(condition) <br /> Casing Diameter(in) Casing Stick-up:(ft) Meter Calibration: Sampling Kit: <br /> Static Water Level: Total Well Depth: Sample ID: Time Taken Preservative Field Filtered Analysis <br /> (fromloPo'casing)(n) (from top of casing)(It) <br /> Saturated Thickness:(R) Casing Volume:(gal) <br /> Purging Equip. Purge Rate(if pump used) <br /> Purge Parameters: <br /> Time Temp(F°) EC(mS/cm) DO% DO(mg/L) pH pH mV ORP Turbidity <br /> Well evacuated to dryness?(Y/N) _ Time to recarge well? <br /> Sampling Information(from above): <br /> Time Temp(F°) EC(mS/cm3) DO% DO(mg/L) pH pH mV ORP Turbidity <br /> Immiscible Layer(Y/N) Sample Odor. <br /> Sample Appearance: <br /> Description and Notes: <br /> Checked by: Date: <br /> /I M oLEN <br /> 50 <br />
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