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Groundwater Sampling Form <br /> O,oject Name 'Z,,� A(_.,,, UlAJ�T�r Well No 3 <br /> Project Number 1 a 13 1 Well Type Mondor ❑Exract-n ❑Other <br /> Recorded Ely T Sampled by 6 r Date / a of g y <br /> WELL PURGING <br /> PURGE VOLUME <br /> PURGE METHOD <br /> Well casing diameter ❑Bader-Type 1 <br /> ❑ 2-4nch & 4-inch ❑Other -SPump-Type [, I <br /> Welt Total Depth(TD,tL below TOC) _ r D S ❑Other <br /> DepLh to Water L ft below TOC U C) PUMP INTAKE <br /> De th to free Kase hydrocarbons FP below TOC Near top Depth(ft) <br /> f Number o well volumes to be pur ed Near Bottom Depth(ft) .S^U C� <br /> ❑ 3 ❑ 10 Other Other <br /> PURGE VOLUME:CALCULATION Pumping Rate �gpm <br /> 1 ° y g x 6 b x <br /> � b aa1 <br /> Water Column Length Multiplier No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casinq Dia wches =Gallons near ftJ-3 I I <br /> 2=0173=038 40066145=083 15=102 16= 15 18=26 1 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type A) r T <br /> Time/Gallons pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm ndeq.FDS (NTLI) <br /> ; 1100 <br /> I10S <br /> 49 1 13- G Zu fl <br /> J v <br /> t ! v <br /> 1 <br /> ! <br /> Comments dunng urge <br /> Well Pumped d YE NO Purge crater storage/disposal ❑Drummed onsite ❑other T <br /> WELL SAMPLING <br /> 1 SAMPLING METHOD Date/Time Sampled aI 4y 1a U <br /> Bailer-Type& _--- -)Qt V-� Sample port ❑ Other <br /> iJ GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type S) <br /> DateTirnef%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm) Nd^m FNTLI <br /> i of9L'/ I ! /uO /S+ 949 .0 CX.. 4r, <br /> ii SAMPLING PROGRAM <br /> II <br /> Sample No lContainer#/Volume I Anatvsis I Preservatives I L aboratory Comments <br /> I <br /> I 1 <br /> I <br /> r ; <br /> ] QUALITY CONTROL SAMPLES <br /> Duplicate Samples Blank Samples II <br /> t On rnal Sample No' Du Ircate Sam le No T Sample No 1 <br /> Tn <br /> Rrnsate <br /> Transfer 1 <br /> r <br /> Other r <br /> r <br /> I <br />