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Groundwater Sampling Form <br /> 9raject NameZEX,LQLS`7'oc.� Well Na <br /> Project Number /a 3 O V-11, Q/ Well Type �MonAor ❑Extmciion ❑Other <br /> Retarded Hy ;CrSampled by 1� Date <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter ❑Bader-Type <br /> I ❑ 2-inch �nch ❑Other Wump-Type &OVA-f Gro 5 E <br /> Well Total Depth(TD n below TOC) c� D []Other 1 <br /> De to aterrWL.ft below TOC 3$ PUMP INTAKE <br /> [Depth to free 12hase h rocarbons FP ft below TOG Near top Depth(R) <br /> Number o wen volumes to be pur ed Near Bottom Depth(ft) <br /> ❑ 3 ❑ i 0 Other -T ther <br /> PURGE VOLUME CALCULATION y ! Pumping Rate I qpm <br /> Water Column Length MultipfiecJ No Vols CALCULATED PURGE VOLUME <br /> MUL-nPL1ER Casin DQ inches =GallonsAinear R /6. 1 <br /> 12=01713=03814=066145=08315=1 02 16=1 5 8=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type �IbclAjt T_ <br /> Time/Gallons ff Cond Temp deg C Turbidity Calor/Odor <br /> uomhos/cm d F NTU <br /> ! / 1, .�,. � 2 % 1,p rat p. <br /> / qf 7e Z 70 2I,' 7 <br /> / 1 3 a;ra 101 <br /> - G p v ,( <br /> �oZ l aj ,s 7, - C.as <br /> . 2 'O / I oFF <br /> / <br /> / <br /> / <br /> Comments during well purge 3 AY-0u r✓r+� Sri <br /> Well Pumped dry YES NO Purge water storage/disposal ❑Drummed onsite er-jZ4r15FiF2 Tp <br /> WELLSAMPLING <br /> r SAMPLING METHOD Date/Time Sampled <br /> Bader-Type jS IoDS R� Sample port-0Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type v6z fif ST <br /> Date/T'ime%Recharge pH Cond Temp 1-4se-0 C Turbidity Color/Odor <br /> uomhos/cm d F NTU <br /> 1.2 S s �+xooZ <br /> SAMPLING PROGRAM <br /> Sample No I Container ONolume An rs Preservatrves I Laborato Comments <br /> I I <br /> � ! I <br /> i I I I <br /> + QUALITY CONTROL SAMPLES <br /> Puplicate Samples Blank Samples <br /> On mai Sample No Duplicate Sample No T Sample No <br /> 1 <br /> Trip 1 I <br /> Rrnsate I Q - ou <br /> Transfer I I <br /> Other r <br /> i; <br />�' 3 <br />