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GROUNDWATER SAMPLING FORM <br />E1Y41AtlNMEH7A� GEa7ECHN1 SSOCIATES�INS <br />PROJECT INFORMATION <br />� <br />PROJECT NAME R V\ PROJECT NUMBER WELL NO <br />PROJECT MANAGER IV A TYPE OF WELL ✓ Monitoring EYtrac;lan Other <br />RECORDED BY SAMPLED BY DATE <br />WELL PURGING INFORMA <br />T ION <br />'PURC <br />'Well <br />rPurge <br />VOLUME <br />We9 ung Diameter <br />2-+nch 4anch Otheri' <br />Total Depth 3q'(4 feet below Top of Casing, TO <br />11 <br />OecttT to Water` '9 1 feet below Top of Casing, WL <br />Water Column Lengtht feet <br />PURGE METHaQ <br />Bader -Type <br />Pump - Tec <br />Other . Specify <br />Hydra on Odors <br />Yes No <br />' <br />Volume Calc ilatian (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br />X C) , X - -s' © Catc- fated Purge Volume = t allons <br />(WCL) (Muttiptler) (No Volumes) A&Ual Purge Volume = allons <br />Multiniler (Canna Diameter Flnehesi = Gallonvhnear food Z = 0 17 4= Q66 6 = t 5 e = 2ax <br />' <br />Groundwater Parameter Measurement; Meter Type �Lahbratedk, _No <br />TIME <br />ELAPSED <br />TIME I <br />FLCWRATE <br />(GPM) <br />OTW <br />(ft) <br />pH EC <br />vnhoslc-n dd r <br />eg <br />TURSICITY <br />CNTU) <br />REDOX <br />mV <br />COMMENTS <br />1 <br />1 <br />Cal Z1(9 <br />d <br />Ll <br />0 e <br />-'zL <br />h <br />1 <br />I <br />kk <br />I <br />E1Y41AtlNMEH7A� GEa7ECHN1 SSOCIATES�INS <br />