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GROUNDWATER SAMPLING FORM <br />M <br />IVAMASSOCIATES IN'- <br />FNVIR0NJW69rAL, GEOTECHNICAL AND MATERIALS PROFESS! <br />PROJECT INFCRMAT€ON <br />' <br />PROJECT NAME _ t 17t�rt_ V 5 �j - PROJECT NUMBE=D 13WntWELL NO ova ' <br />PROJECT MANAGER b V !ice TYPE OF WELL k.,/ Manitanng Extraction Other <br />RECORBED BY 74-F SAMPLED EY /-f DATE Q t Q b <br />WELL PURGING INFORMATION <br />'Water <br />PURGE VOLUME <br />Well C mg Diameter <br />tnc't 4tnc't Other <br />Well Total Depth351149 feet below Tap of Casing, TO <br />Depth to Water -7 J. C 7, feet below Top of Casing, WL <br />t <br />Column length ll+ feet <br />PURGE METHOD <br />,�_ <br />r Bader - Type % -t" 1C <br />Pump - Type "T <br />Other -Specify <br />Hydroan Odors <br />Yes No <br />' <br />Purge Volume Calc.Aaticn (Wate1r^C7aiumn Length x Muittpiier x No Volumes = Caiciiated Purge Volume) <br />`t`'4 7 X G` t { X = _�� Caic Bated Purge Volume = S J _ _gallons <br />(WCL) (Multiplier) (No Volumes) Actual Purge Volume gallons <br />MudIclie• (Casino. Ctameter• ITr ehes1 = Gallons111near foots 2 =C 17 4= QB6 F= 1 5 a = 7a <br />' <br />Groundwater Parameter Measurement- Meter Type S Cc=Calibtat _Yes —No <br />TIME <br />ELAPSE? <br />fME <br />FLCWRATc <br />(GPM) <br />OTW pH <br />(R) <br />EC p <br />�rrhoslcm <br />deo F <br />TURSICtTY <br />{� <br />RECCX <br />mV <br />COMMENTS <br />` <br />r <br />if! I I <br />--- 17i m <br />I <br />17-11 I <br />I <br />s i►��r di � z of rt <br />7 5 <br />I za <br />I <br />,k <br />so ! 13 1 <br />I 22 z <br />1 <br />1 <br />I <br />I <br />I <br />I <br />! <br />1 <br />I <br />I <br />! <br />I <br />I <br />I <br />IVAMASSOCIATES IN'- <br />FNVIR0NJW69rAL, GEOTECHNICAL AND MATERIALS PROFESS! <br />