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Groundwater Sampling Form <br /> ��urect Name �ncp Well No <br /> Project Number i-3 0'4 y of Weil Type Monitor �E�4ract�on Other <br /> Recorded By 1` Sampled by s Date 1 �u r q <br /> WELL PURGING <br /> 3 <br /> PURGE VOLUME= PURGE METHOD <br /> Well easing d meter 0 Bailer-Type <br /> 11 2-inch 4-inch []Other E]Pump-Type <br /> Well Total Depth(TD ft below TOC) _ Y1� S EJ other <br /> Depth to Water L ft below TOC-3 -1 Y PUMP INTAKE <br /> De th to free Kase h rocarbons FP ft below TOCI Near top Depth(ft) 41 U <br /> r Number of well volumes to be pur ed Near Bottom Depth(ft) y <br /> El 3 11 10 Other Other <br /> PURGE VOLUME CALCULATION Pumping Rate =gpm <br /> 1 0 0 Ir _ X ��z_ x � = b al <br /> Water Column Length Murtipuer No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Diainches =Gadions/rinear ft gals <br /> 2=0173=038 14=065 45=083 1 S= 102 5= 15 18=26 _ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type _ 7r,},,.,7 <br /> Cond Temp Ideg,C Turbidity Color/Odor <br /> Time/Gallons pH <br /> C uamhos/cm HideoF lib✓ NTU <br /> a o S' u <br /> Liv u v -- <br /> / <br /> 11 a Xk) <br /> 3s / r ys -4T- <br /> /'4 l 9T u <br /> m0 / )22o <br /> Comments during well p e <br /> Well Pumped dry- YE NO Purge water storage/disposal C]Drummed onsite Other <br /> WELL SAMPLING <br /> SAMPLING METHOD Date/Tune Sampled tl 14 / K" t) <br /> Bailer-Type (B Sample port El Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type_ L r/ <br /> L. <br /> DaterrLme/%Recharge pH CondTemp deg C Turbidity Color/Odor <br /> uomhcs/cm dpq F NTLI <br /> SAMPLING PROGRAM <br /> Sam le No I Container#/Volume Analysts Preservatives I Laborato Comments <br /> et STku Mw14u,r.a r3Tu ti 173 <br /> I I <br /> � I <br /> QUALITY CONTROL SAMPLES <br /> Duplicate Sam les Blank Samples <br /> p On ma!Sam 1e No Duplicate Sample No T Sample No <br /> Trip f o f ! <br /> Rinsate iJ <br /> Transfer <br /> Other <br />