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Groundwater Sampling Form <br /> Project Name x Weg No <br /> �Pfojed Number / , — ! Wel Type [Manitor [IEXdracl-on Other <br /> Recorded ay Sampled by Dale <br /> WELL PURGING.- ,x <br /> PURGEVOLUME PURGEMETHOD <br /> Weg casing diameter []Saler-Type <br /> 0 2-inch 4-u+ch []mer ,�Pump-Type v 1 <br /> Wel Total Depth(TD,R below TOC) woo []Other -Depth - <br /> to VJaler ML.it below TOC 3Z.,S S/ t:> PUM?INTAKE <br /> De th to free hale hydrocarbons(FP,ft below TOC Near fop Depth(tl) <br /> Number of well volumes to be Pur ed Near Bottom Depth(ft) <br /> 3 10 Other Other <br /> PURGE VOLUTAE CALCULATION Pumping Rafe gpm <br /> Iy G� X rG � X I Z7 aa! <br /> Water Col.rmn Length Multiplier No Vors CALCULATED PURGE VOLUME <br /> MULTIPLIER(Ceeing bra inches =Gallonr.Tnear ft) <br /> z� Dal <br /> 2=017 3=0 36 4=0 fi5 4 5=0&3 5= t o2 6= 1 5 8=2 6 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type -AA L� e- <br /> 7`imrJGallons PH Cond Temp I Ideg C Turbidity ColorlOdor <br /> uomhosrcm e F NTU <br /> ;,—I I C !EiSic I 1 <br /> l�-II Z 170 1 7,3 I 3C�= I c I <br /> ! I I I <br /> 1 � _ <br /> Co•nmen's during well purge„ <br /> Well Pumped dry, YES�F O� Purge Hz'er sla2ge/dispcsal []Drum-ned onsite Olher �N >j_Iz; _ <br /> WELL SAMPLING <br /> SAMPLING YAETHOD Date-Mme Sampled 1/—_16 1 r 3z"(?- <br /> Sailer-Type Sample port 0 Other <br /> GROUNDWATER SAV ALE PARAMETER MEASUREMENTS Meter Type <br /> Dale�mej%Rechar;e PH Cond Temp deft C Turbidity Color/Odor <br /> uomhes... deo F NTU <br /> SAMPLING PROGRAM <br /> Sample No Container VVolume Araftisrs Presermlives Laborafo Comments <br /> t✓L� <br /> rC, <br /> ^�QUAl1TY CONTROL SAMPLES,— <br /> Du Gcaie Sam les Blank Samples <br /> On rnal Sam le No u Gcale Sampte No Type Sample No <br /> Tnp <br /> Rmsaft <br /> Transfer <br /> Other <br />