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o � <br /> Groundwater Sampling Forme <br /> otalect Name �•C' La J.J Well No <br /> Protect Number fl 4 4 U ) Well Type Monde ❑ExI ctron ❑Other <br /> Recorded By —i2\ r Sampled by -.A -P Date J Z t°t -i <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter ❑Bailer-Type <br /> ❑ 2-inch 'N 4-inch ❑Other Pump-Type <br /> Well Total Depth(TO,It below TOC) _L)q r ❑Other <br /> Depth to Water ft below TOC 3 PUMP INTAKE <br /> I Deth to free hale hYdrocarbons FP ft below T4G Near lop Depth(R) <br /> Number o well volumes to be A ed Near Bottom Depth(ft) <br /> I ❑ 3 ❑ 10 Other Other <br /> PURGE VOLUME CALCULATION �f Pumping Rate J qpm <br /> Q <br /> _ r I S X X I S- al <br /> Water Cotumn Length Multiplier No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dia niches =GallonsAnear fta-F. F Cq3al <br /> 2=0173=038 14=066 145=083 15=102 16=15 18=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type S-A-,L v <br /> Time/Galtons pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm Ndeg F NTU <br /> 1 r T9 3I 1 1 1-. U ro 8'et'— <br /> I k `f rr v a V o n.0 <br /> r $ ti� I Tey a <br /> -16T l L 4 ;s ! U 1 .A <br /> 114 <br /> 3 r `� f 0 TI G-1 7 <br /> HH b S' cYN <br /> r <br /> / <br /> Comments during well pur <br /> Well Pumped dry YES NO Purge water storageldisposal ❑Drummed onsste Other fi1-A- J 7/ArIA <br /> WELL SAMPLING <br /> SAMPLING METHOD Daterrrne Sampled <br /> Bailer-Type � Sample part ❑ Other . <br /> GROUNDWATER SA LE PARAMETER MEASUREMENTS Meter Type T) _ <br /> I <br /> DatelFime/%Recharge pH Cond Temp deg C Turbidity ColortOdor <br /> uomhoslcm dea F NT <br /> r S s n r u o `i a ) 7 <br /> f! YSAMPLING PROGRAM <br /> fSample No I Container#/Volume Anal is Preservatives 'Fzboratory Comments <br /> I I <br /> j I I <br /> QUALITY CONTROL SAMPLES <br /> I <br /> Duplicate Samples Blank Samples <br /> On tnal Sam le No Du ficate Sample No T Sample No <br /> I <br /> Tripo r <br /> Rinsate <br /> Transfer <br /> Other, ' <br /> i <br /> I <br /> "'Dki�vPt'S 7=-X C"C v <br />