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�r Groundwater Sampling Form <br /> Protect Name {,l r S� �-�YI",,t, )a(/ -- Well No 10— <br /> Prolect Number ,j Q sWell Typ/eMondor []Extraction ❑Other <br /> Recorded By Sampled by /Vc � G & 1,6e� Date <br /> WELL PURGING A <br /> PURGE VOLUME PURGE METHOD <br /> Well casing d1amete ❑Sailer-Type <br /> ❑ 2-inch Y 4-inch []Other , �ump-Type Clec4icif, <br /> Well Total Depth(TD n below TOC) y5. g []Other <br /> De th to Water LWL.ft below TOC 3 PUMP INTAKE <br /> De th to free Phase hydrocarbons FP fl below TOC N r top Depth(ft) <br /> NV.Ur of well volumes to be pur ed ear Bottom Depth(R) <br /> 3 ❑ 1 o Other Other <br /> PURGE VOLUME CALCULATION Pumping Rate gpm <br /> 13. `7 X X 3 = 6, b z g, 9 oat <br /> Water Column Length M ripLer No Vols I CALCULATED PU GE VOLUME <br /> MULTIPLIER Casin Dta inches =GallonsAinear flOzl <br /> 2=0173=038 4=066145=0631 5=102 6=15 IS=26 ACTUAL PURGE VOLUME <br /> GROUNDVJATER PARAI.9ETER N.EASUREMtENT Meter Types <br /> Time/Gallons pH Cond Temp 1.JdPg C Turbidity Color/Odor <br /> uomhos/cm deo F NTU <br /> r �Fc� e <br /> 6iP 9400 1 -711- 0 1 Y 1. .17- <br /> �- ::p4►ee I ,D S. <br /> � I <br /> / <br /> Comments during well purge <br /> Well Pumped dry YESO Purge v2ter storageldrsposal []Drummed onsde Other /l c�iritcs[� <br /> WELL SAMPLING 91, <br /> SAMIPLING I.SETHOCDf_� DateTme Samplsd <br /> Ba ler-T)-ped 'H i nI C 4,1 �-f Q . Sample port ❑ Other C1 <br /> GROUNDWATER SAM SPLE PARAMETER MEASUREMENTS Meter Type <br /> DatelrmeJ%Recharge pH --FCond Temp deg C Turb,ddy Color/Odor <br /> mhos/cm deo F NTV <br /> 1 I <br /> SAMPLING PROGRAM <br /> Sample No Conla,ner#Nolurne Analysts I Preservatrves Laboratory Comments <br /> hl Tv-- l S $, <br /> I <br /> i <br /> -QUALITY CONTROL SAM'.PLES <br /> Du limate Samples Blank Sam les <br /> Onainal Sample No Du licate Sample No TXpS Sample No <br /> Tn <br /> Rmsate <br /> Transfer <br /> Other <br /> P 1GWIVTORMS1TFX-QtvS WKi <br />