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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME D PROJECT NUMBER 13 ,d 0 0 ' WELL NO MW " <br /> PROJECT MANAGER bV A- TYPE OF WELL f Monitonng Extraction Other <br /> RECORDED BY A F SAMPLED BY AF DATE d 6OI <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Wey�Casing Diameter <br /> 2-inch 4-inch Other Baiter - Type <br /> Well Total Depth —35. feet below Tap of Casing,TD Pump - Type t<vv7 Vr,f')w <br /> Other - Specify <br /> Depth to Water Q ' r03 feet below Top of Casing,WL Hydrecartan Odors <br /> �' �� Yes �No <br /> Water Column Length feet <br /> Purge Volume Calculation (WaterColumnLength x Multiplier x No Volumes = Calculated Purge Volume) Q <br /> I S' �57 X t ( X = 73 Calculated Purge Volume = 7 r _gallons <br /> (WCL) (Muitiplier) (No Volumes) Actual Purge Volume = t gailons <br /> Multloiier (Casing Diameter nchesj = Gallonsilinear food 2=a 1T 4=0-66 6= 1 5 8=2 S <br /> i <br /> Groundwater Parameter Measurement Meter Type Sf —3!!;W Calibrated vYes�No <br /> TIME ELAPSED FLowRATE DTW pH EC TEMP TURBIDITY REDOX COMMENTS <br /> TIME (GPM) (ft) anhostem (NTU) mV <br /> deg F 00, 0 ) <br /> 109140 b3 x.5.3 o.So -z{.q NA f "-i,\�sk <br /> oQ z ► Q c�,�f62 <br /> r Q�y i zz C��e� _ Q_' <br /> 012 l I 0170 1 7O G Y fJ O f 3/ 41 S- P G e- 2-1 1 <br /> 49301 o. 3( I zi (a <br /> I <br /> \T= AT <br /> ENWRONMENTA4,GEOTECHNICgLAN &•FCS INC. <br />