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Groundwater Sampling Form <br /> Project Name-7-xArn sKa re r-3 Well No /!9w` 5 <br /> ProjectNumber / Q� Well Type [ onrtor []Extraction ❑Other <br /> Recorded By Sampled by -,A�� -- pate <br /> WELL PURGING <br /> PURGE VOLUME <br /> PURGE METHOD <br /> i Well casing diameter n Bader-Type <br /> i 2-Inch b 4-nch ❑Other LL-f Puump-Type aeU4r05 <br /> Well Tata)Depth(TD,ft below TOC) — 11417 r []Other - T— <br /> DeathtoWater L R below TOC C1 PUMP INTAKE <br /> Depth to free phase hygrocarbons FPR below TOC Near tap Depth(R) <br /> Number o well volumes to be ur ed <br /> p - — Near Battam Depth(R) <br /> ❑ 3 ❑ 10 I d`-u'=r her bTTo­- <br /> PURGE <br /> - <br /> PURGE VOLUMEQCALCULATION (� 3 Pumping Rate 1:t 0 gpm <br /> XX gals <br /> Water Column Length Mu No Vols LCAUCULATE0 PURGE VOLUME <br /> MULTIPLIER(Casing Dia Enchejs =GallonsTnear ft 7, Q at <br /> 2=0173=038 14=066 145=083 15=102 16= 15 18-26 L ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type _CO( !A)I $T <br /> TtmelGallons pHI tCond Temp deg C �— Turbtdtty Color/Odor <br /> uomhas/cm d 1= NTU <br /> t / 6 7. -I I Ui%0 21 , -2- <br /> 1 ;5 / t LK –7. /$a n 2! t 1, C <br /> 13 -Z f6v — ve <br /> t 33 _ylrz 1 96, y I <br /> / /7 7 , !8",0 ztl3 0 F <br /> 1 �37" d a7!rA(3 to 3 s4L <br /> . 19'/Q Z If 7 11 -70 <br /> Comments during well purge 12 LdC1 �t` k; 6 o <br /> Weil Pumped d ES NO Purge water storage/disposal Drummed onsite er X�ANsx <br /> WELL SAMPLING 71 - <br /> SAMPLING METHOD Datefrune Sampled /,70/9'y I l5—,o <br /> Bailer-Type 3 .1�SpQ��h(,�' --- Sampte port Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type Sc �IJ/$r <br /> l Datefrlmet%RechargepH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm d F NTU <br /> I / O-19 I / o / iZ3 IWO ,,r I / Ins 6 9A r <br /> SAMPLING PROGRAM <br /> Sam le No I Container XlVoiume Ana : Preservatives Laboratory Comments <br /> f <br /> QUALITY CONTROL SAMPLES <br /> Du Iicate Samples Blank Sam les <br /> f Onoinal Sample No Duplicate Sample No TYDqSam le No <br /> Tn <br /> Rinsate <br /> Transfer <br /> Other <br /> r <br /> I <br />