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QUARTERLY GROUNDWATER SAMPLING <br />FORM <br />CLIENT S U C <br />SITE 5+K <br />DATE 4 <br />WELL NUMBER 4J� <br />SAMPLER SIGNATURE <br />WEILL ]DESCRIPTION: <br />Casing Diameter 0/ 4 / 6 / 8- <br />Locked / N KEY NO. <br />Casing ntac / Damaged <br />Concrete Seal ntact Damaged <br />WATER COL SC RIPTION. <br />x4 G R{ <br />Floating Lay r Thickness (in) <br />Sampled Y ON HNU/OVM Reading in well: <br />Depth to well bottom <br />O 7 <br />Depth to water surface (avg) <br />Standing Water Column <br />I <br />Well Diameter Factor <br />0, l 7 (2' 4 17, 4' 0 65; 6" 1 47, 8' <br />2 61) <br />One Well Volume <br />Volumes to be removed <br />Gallons to be removed <br />q' <br />PURGE i►iEASUREMENTS:. <br />Purge Device u MA12 <br />Purge Rate (gpm) <br />Turbid <br />Volume Temp <br />Time (gal) ac <br />Sp Cond Odor <br />pH (uMhos) Y/N Alkalinity <br />YIN <br />Color HNu/OVM <br />10 y � <br />ce. a Y3& x <br />ro 43 3 <br />7, S-70 Ai <br />C- <br />2 <br />SAMPLINGIANALYTICAL INFORMATION: <br />Sampling Methodail / Pump / Other <br />Dedicated Y <br />Sample Number MW — ! <br />Sample Time 16 i <br />Duplicate Y / N Duplicate <br />Sample Number <br />Sampling Parameters <br />Analyte Method <br />Container Volume # Bottles <br />Holding <br />Preservative Time <br />Di-� <br />NOTES: <br />" <br />ovun4 <br />ST1 WTSIQUERECOR WP <br />