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Groundwater Sampling Form <br /> Project Name (Ls-- (J ^II:�I )A Vdell No CV Project Number ,S�$ �r WellTyp I.<ontlor E)Extraci+on []O'her <br /> ecorded By Samale by ���1��! p�Gl✓� Dale <br /> WELL PURGING n <br /> PURGEVOLUME;E PURGE METHOD <br /> Well casing d':amele [)sailer-Type <br /> 2-inch LT 4 rnch GO.her vWr ump-Type C_jtC+_L <br /> WellTo'af Depth(T D.ft bela.vT0C) Other <br /> e lh to Waley AVL 41 befcw TOC) —5zllo PUMP INTAKE <br /> D thtofree Phasehvdrocer5ors F? 1t below TOC Near lop Depth(ft) <br /> Nqplber ol well volumes to be purced ear Bottom DeF'h M <br /> 3 ❑ lo r-1 Olher Other <br /> PURGE VOLUI;E CAALLCULATION Pumping Rale cpri <br /> ///d X X - <br /> i y cat , <br /> 1'�'a;er Coli--,Len_ `1 t'J"l?,er No Vols CALCULATED PURGE VOLUME <br /> tJULTIPbER Cas,ne Da firoc-esJ=GaflonsFimear` 31FI, oa+ <br /> 2=0173=038 A=065 <5=0E:J5=102 6= 15,6=26 ` ACTUAL PURCEVOLUME <br /> GROUNDWATER PAW ETER I.'EASUREI.SENT Meler Tyre L �+rf�;L y <br /> Time/Gallo-is P4 Cond I Temp deo Turbid+y Color/Odor <br /> uomhes cm) eo F I.TU <br /> 1 I I mo I I <br /> 1 I ,Zdeo I I I <br /> 1 I I I <br /> 1 I I I <br /> 1 I I i I <br /> � I ! <br /> Commen's during well pu'te <br /> Well Pumped d-f YES :O Purge v z'er sl;.a_eld,sposal C)Drurn-ned onsMe 'her <br /> WEL SAMPLING <br /> SAMPLING MiETHOD DVtmrne S?-p+ed <br /> £E ler-Typed �X�rfjQs23 SQA Ssr-,pteport Dlher n _ <br /> GROUNDIVATER SAMPLE PAPAVETER MEASUREMENTS I'elerTy?e _ <br /> Ga'efrimei%Recta ^.e py Cond I Te-np HIdeq C I Tubid+ty I Color/Odor <br /> uamhcs/Cm deo F NTU <br /> ! 1 I I I <br /> SAMIPLING PROGRA1h <br /> Sample No COn`8-er !Vo'.r-e I Anakss Preservs'rves Lpboralory Comments <br /> I - I <br /> I 13 ! <br /> I I I I <br /> I I I I ! <br /> I I l <br /> I I ! I l <br /> I <br /> QUALITY CONTROL SAI.',PLES <br /> Duaricale Sam les Blank Sam les <br /> Onoinal Sample No Du itCF'e Sam ie No Tyi>e I Sam le Na <br /> Tn <br /> Rrnsale <br /> Transfer <br /> Other <br /> P XGVi 1AFnFORlVSITE.X-pldS VOKII <br />