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Groundwater Sampling Form <br /> Project name � LL.r s-- � v• )AW -- (L)_ 3 <br /> Well No <br /> Protect Number _ Lyell T3pee r� IJonfor ❑Eklractlon ❑Other <br /> ecorded By SamptE;by _&*a ©Z:PAJ/SC Date /f <br /> WELL PURGING n <br /> #?URGE VOLUME` PURGE METHOD <br /> Well casing diamete ❑Bailer-T)?e <br /> ❑ 2-inch y 4-.nc:h []Other Wu-np-Type K CC{.ai C b <br /> Well Taal Depth(TD,ft below TOC) _ []Other <br /> e 'h to Water MI ft below TOCII 3Z. e PUI;P 114TAKE <br /> Deo:h io free phase hvdro^art�ors fFP.11 below TO r top Depth(tI) <br /> u � r of welt volumes to be puroed Near 6o;tom Dep'h(") <br /> 3 ❑ 1001,her Other <br /> 'PURGE VOLUIIECALCULATION Pumping Rate cpm <br /> 1 A. S 7- X . G e X 3L -6 / <br /> LyE'er Calur„n Le tg;h t.'r gyp'Er NO VolCEI <br /> CALCULATED PU GE VOLUME <br /> I!ULTIFUER CEsrno D.a �n:hes =GcllonsTiineEr ea, <br /> 2=0173=033 4=055 45=0E3 5=702 E = 15 E=26 ACTUAL PURGE VOLUME <br /> �� <br /> `GROUh'DVJATER PARAI:ETER tAFASUREI:Et.T A'e'er T�,e / Q/�L <br /> T1rreIGallons pH Cond •Tem? I IdEg C Turbiar`y GoloNOdor <br /> fuo-tiCs CIn dea F I%TU <br /> 0bo • r I 9,4i o o/” <br /> : f 6 . 1 zf41'rQ 1 73-6 1 30.b I <br /> t3: 1S / 1 �• I boo f 3.� I 31.1 I <br /> Co-rimen's during well pLi ge <br /> Well Pumped dy YES tJ Purge vater s' �.elt spcsal ❑Drimmed onsre Cher a <br /> WELL SAMPLING <br /> SAMPLING MIETHOD Ca'e/Ta"ne Sv7ped S•' •7 ! 13:L Sr <br /> Ea ter-T)pe Rr �Ls S-t �l Sar, �e ort <br /> ? p ❑ Other <br /> GROUNDWATER SAMPLE PARAI:ETER MEASUREI.'ENTS I.Se'er Type <br /> DEte/TaneJ% Rec~a ge I pal Cond Te^ip deg C Turb drt, ColoNOdor <br /> f uomh�srcr deo F NTU <br /> 1 I <br /> SAMPLING PROGRAIA <br /> Sample No �Conla-erMoh—e I f.nalvss I PTese,%a'rves LEbo,a'o I Co^s-�ents <br /> yetI f <br /> 1 I I <br /> I I I I <br /> I � <br /> OUALITY CONTROL SAI:PLES <br /> Dunficale Sara les Blank Samples <br /> Onainal Spm 1e No ricele Sam le No Ti>e Sample No <br /> Trip <br /> Rrnsate <br /> Transfer <br /> Other <br /> P%GWIJPIFORM.SITEX.OtJS VVKi <br />