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FA <br />GROUNDWATER SAMPLING FORM <br />PROJECT INFORMATION <br />[� <br />PROJECT NAME �1'1 %PQVN PROJECT NUMBER WELL NO rW��`' r <br />PROJECT MANAGER IV A TYPE OF WELL r -f -M onitoring Extraction Other <br />RECORDED BY A SAMPLED BY DATE 1 Z-1-500 <br />WELL PURGING INFORMATION <br />VOLUME <br />Well <br />Well Ing Diameter <br />2 -inch flinch Other <br />,�/ <br />Well Total Depth � ! r feet below Top of Casing, TO <br />❑enth to Water feet below Tap of Casing, WL <br />Water Catumn Lengthy feet <br />PURGE METHOD <br />Bailer Type <br />' Pump - f �'� ;+t <br />Other - Soec:ec fY <br />Hydrocarbon Oaors <br />Yes L No <br />Purge Volume Calculation (Water Celumn Length x Multiplier x No Volumes = Catcalatec Purge Volume) �[ <br />15-!„r{ 6 X L) 17&. X Calcilated Purge Volume = a' � � allons i <br />(WCL) (Multiplier) (No Volumes) Actual Purge Volume = Z _ Q gallons <br />I <br />Multiniter fCasinq Diameter rTnches = Gaticns/tinear footy 2= p 17 4=066 8- 15 S = 26 <br />Graunchnrater Parameter Measurement Meter Type�)Calibrated Yes �No <br />T iME <br />I EL 4PSED <br />TIME <br />I I <br />FLCWRATE <br />(G? <br />DT1N <br />(R} <br />I pH <br />EC <br />{ annoslcm <br />TF -1 1P <br />I d F <br />7URBICITY <br />(NTL) <br />RED CX <br />mV <br />CCMMEi I T S <br />y, <br />3l, <br />7,q ' <br />0,T-- <br />22-7� <br />, 7 <br />�I <br />22 z <br />-7,) <br />,, � " <br />I <br />, <br />2l <br />`7 <br />2-Z-2 <br />71).7 <br />I &3 <br />z1 9I <br />i! 5 <br />I <br />I <br />22- 21 <br />i, <br />IS? 2- <br />L <br />11 <br />1 <br />z <br />72 '513 <br />-7, ! <br />df31 <br />22,14 <br />I <br />I <br />1 <br />I <br />I I <br />I <br />l 1 <br />I <br />I <br />I <br />I 1 <br />! <br />I <br />I <br />I <br />I <br />1 <br />I <br />I <br />I <br />1 <br />I <br />i I <br />I <br />I <br />I I <br />I <br />I <br />I <br />� <br />I <br />I <br />I <br />I I <br />! <br />I <br />I <br />I <br />I <br />I I <br />1 <br />ASSOCIATES INC. <br />ENVIRONMENTAL, GEOTECHNICAL ANO MATERIALS PROFESSIONALS <br />