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<br />Job No-~ro Site Name~~+~~~~ <br />Samplers (~ Date <br />Monitoring Well Sampling Form <br />Reviewetl by <br />Date <br />Sheet of <br /> Water in Well(1) <br />Sampling <br />Order <br />Well Diam. <br />in. <br />Date <br />Time Total <br />Depth Water• <br />Level <br />Feet <br />Gallons Evac.(2) <br />Method Gallons <br />Removed Sampling <br />Method(3) Equip.(J) <br />Clean.(4) <br />Comments <br />MW Z y.r 1z .? y <br />nnw ti : r S .3S 6• l3.35 ~ i Puc <br /> <br />Mw < < ° .~~ ~ 0 2 <br />nnw 1 •' it/ ,5_S• 35 /, i .os Od 0 Svc <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />'from WATER LEVEL AND PRODUCT THICKNESS FORM <br />1: TD-WL =FEET OF WATER IN WELL <br />GALLONS PER FOOT OF WATER <br />2" = 0.2 6" = 1.5 70" = 4.1 <br />4" = 0 7 8" = 2.6 72" = 5.9 2: WELL EVACUATION METHOD <br />P: PUMP WITH DROPLINE TO WATER <br />SURFACE <br />S' SUBMERSIBLE PUMP 3: SAMPLING METHOD <br />PVC -PVC BAILER <br />PE -POLYETHYLENE DISPOSABLE BAILER <br />TB -TEFLON BAILER SIGNATURE DATE <br /> B: BAILED <br />O: OTHER PD -PUMP DISCHARGE <br />SB -STAINLESS STEEL BAILER <br />4: EQUIPMENT CLEANING: ALL EQUIPMENT (i.e. WELL PROBE, DROPLINE FOR PUMP, BAILER, ETC.) WHICH WILL COME INTO CONTACT WITH <br />OTHER WELLS MUST BE CLEANED BETWEEN USES. <br /> <br />FORMS 1/OBi11i98 <br />