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GROUNDWATER SAMPLING FORM <br />PROJECT INFORMATION <br />'ROJECT NAME �Zti�G\a;t) _ PROJECT NUMBER 54,1 WELL NO tilVl�- <br />PROJECT MANAGER v TYPE OF WELL Monitoring Extraction Other <br />' RECORDED BY A, F SAMFLED BY lF DATE I QCT <br />WELL. PURGING 1NFORMA T ICN <br />'PU_.� VOLiJME PURGE METHOD <br />Well sing Diameter <br />2 -inch ¢mch Cther _JZE3ailer - Type X10 yjj�Lh <br />Well T ctal Depth 3q'q 3 feet below Tap of Casing, To <br />Purnp -Type <br />'- Speosfy <br />Depth to Water 2_q1 -5'2—feet below Tap of Casing, WL Other Hydro rloan Cdors <br />f�1 <br />Water Column Length `� fee! Yes No <br />rPurge Vaiume Calc ilatten (Water CQlumn Length x Multiplier x No Volumes = Calculated Purge Volume) <br />MAL X x -3 S's 4 Calculated Purge Volume = r�a}lops <br />' (WCL) (Multiplier) (No Volumes) Actual Purge Volume = ailans <br />Multlolrer fCasrrso Oiame#er CFnchesi = Galfvrtsli�near faor� 2= Q tT 4=fIE6 <br />6=1s s = ZS <br />Groundwater Parameter Measurement Meter Type �; Cailbrated ' Yes —No <br />T IMP �ELAPISED FLOWRATE ❑TW pH EC T= -.MP TCJRSIOITY REDOX CCMMENTS <br />T IME (GPM) (ft) enhordc-n My <br />s eO r jsJ ,N d- r-) <br />ITAWASSOCIATES INC. <br />EWRONMENTAL, CEOTECHN)CAL ANO MATERIALS PROPES510NAV <br />