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1� <br />GROUNDWATER SAMPLING FORM <br />top, <br />SSOCIAT ES INC. <br />EHVIRONMENTAL, CEDTECHNICAL AND MATEMALS PROFESVOMAL. <br />I <br />IN-URMATION <br />'PROJECT <br />' <br />NAME Rtp,,� t_lS� PROJECT NUMBER WELL NO —M W <br />PROJECT MANAGER V A TYPE OF WELL Monitonn Extraction O <br />_ 9 then <br />RECORDED BY A`F SAMPLED BY A r DATE f { <br />WELL PURGING INFORMATION <br />' <br />' <br />PURGE VOLUME <br />Well ing Oiameter <br />2 tnc't 4+nctt Other <br />Well Total C}epth -SS , feet below Top of Casing, TO <br />C)ecth to Water 24, SO feet below Top of Casing, WL <br />Water Column Length 10 . �$ feet <br />PURGE METHOD <br />a�ler - Type <br />Pump - Type <br />Other -Spec fY <br />Hydrocarbon Cdcr^ <br />Yes MM No <br />' <br />Purge Veiume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br />0 3S X d, 11 A X 3 = 5.30 Calculated Purge Volume = 3 Q lailons <br />(WCL) (Multiplier) (No Volumes) A&ual Purge Votume = _ X� gailcns <br />Mualniter (Casinc Diameter fFnches# = GaifonsilineaF foot] Z= a IT 4= (L66 6 =1 5 8 = Z -f I <br />Groundwater Parameter Measurement: Meter Type_ Si —51 SblLaltbrated & Yes �No <br />TIME <br />ELAPSED <br />TIME <br />FLCWRATE <br />(GPM) <br />DTW <br />(ft) <br />pH <br />ECTEI eq TUR510ITY <br />anhoslcm deg F (�) <br />REDCX <br />mV <br />CCMMEVTS <br />w uA�dlvlt' <br />a a i �gr7 <br />I C <br />I <br />--- <br />j at <br />0,Li- Izo,3 <br />tib <br />C2 <br />'7— <br />03 <br />o f 6 zor l <br />-, <br />a 2 I <br />L <br />I <br />7 <br />2 15 <br />in - I -LQ,z.,. <br />I <br />i <br />I <br />I f <br />I <br />I <br />I <br />I <br />I <br />I <br />top, <br />SSOCIAT ES INC. <br />EHVIRONMENTAL, CEDTECHNICAL AND MATEMALS PROFESVOMAL. <br />I <br />