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�ff -Grroundwater Sampling Form ff ` <br /> Project Name �a_(1 s i Cil FWi�+� )A�I Well No `lf' <br /> Project Number ,/ .S`IC,S - � {, ro well Type Llan for []Extraction [30 he <br /> Recorded By c�'1'� Sam?ec l:y YRAiOOAI Date S <br /> 'KNELL PURGING f <br /> PURGE VOLUt„E ' PURGE I;ETHOD- <br /> Well casing dramete []sailer-T)-,>e <br /> 2-inch LT 4mch FJOther Wr ump-TS pe C-j e C <br /> Well-total Depth(TD,ft belc,v TOC) []Other <br /> De 'h to Waler n1rL A below TOC 1. PUI IP INTAKE <br /> e thlo free %ase% 6o--ar5or%s FP ft lowTOC " arlop Depth(fl) <br /> N , r o well volumes to L>--puroed 'ear Bo".om Dep'h(fl) <br /> 3 10 ('jOther Ot%er <br /> PURGE VOLU!4E CALCULATION // Pumping Ra'e cp-i <br /> 11. X LO X 3 = . oa, <br /> Wz'er Co1u-n Len_;h 1.'j"p,er NO Vols CALCULATED PU GE VOLUME <br /> tJULTIPLrER Casin D,z inches = I ca' <br /> !2=01713=0'814=0156145=06315=1 02 5= 15i6=25 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREI,Et%T lAeler Tire §g �iS�L �105i� <br /> T rmelGallons p4 Coed Term LIBWC I Turbidi`y Color/Odor <br /> Cr- deo F i NTU <br /> • 5 eo 1 - ! <br /> Z30 o I 3.6 IY12 k I <br /> r I € I ! <br /> Co^nmenls during xell p: <br /> Well Pumped dy YES a <br /> Pu•oe v e'er sta ry^elds?cszT Drummed o^see r ;her <br /> v WELL SAN1,PLING <br /> SAMPLING METHOD Ga'eTme Sz ?ped C— 1 <br /> It:Or— <br /> S er-Ty,e 0" ,r h 4A � ?,l Sample port 11 Other El <br /> GROUNMVATER SAVPLE PARAt.IETER PFt SUREfAE'�TS 1'eterTy?e <br /> Dzle,MmeJ%Rect z ge PH Cond Tenp deg C Tulbrdrty Color/Odor <br /> uo^shcsJcr� I deo F NTU 1 <br /> / / I <br /> SAMIPLING PROGRAM <br /> Sa-i le No Co-r'a.-,er v. VD!j--e I finah-s s I 2rese-m-'rves i LaSo•a'o Cosner.;s <br /> € 0VI&j € I l <br /> ! I ! I I <br /> I I I ! 1 <br /> I I ! <br /> OIIALITY CONTROL SAI PLES <br /> Du ricale Samples Blank Samples <br /> Onornal Sam le No Du iiczte Sample Na T Sample No <br /> Trip <br /> Rrnsate <br /> Transfer <br /> Other <br /> P 1GMAPTORMSITEX-Oh/S WK7 — — <br />