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'r) 4 ii or <br /> Groundwater Sampling Form <br /> Protect Lame Well No YVJ <br /> roject(lumber Well Type e/ Aonhor ❑E+dractron ❑Other <br /> ecorded By ✓ Sample, by J2c/ Date _ �1.6 <br /> WELL PURGING" r w r y v <br /> PURGEVOLIJI„t~ PURGE METHOD ' <br /> VJell ca sing diameter ❑6a iter-Type <br /> I[] 2-inch V 4-inch []Other 'Pump-Type U L <br /> Well Total Dept (TD,IL below TOC) yq 2z []Other <br /> De th to Water WL,It below TOC 20 PUMP INTAKE <br /> De th to free Phpse hydrocarbons FP ft below TOCI Near top Depth(A) <br /> Number o well volumes to be purged ear B Blom Depth(ft) <br /> jam_ ❑ 10 Other Other <br /> PURGE VOLUME CALCULATION Pumping Rate cpm <br /> 17, 17— x , x - V Cal <br /> Wti.-Ier Colu-rn Length hlu"rplier No Vo's CALCULATED PURGE VOLUN,E <br /> lAULTIPLIER Casino A:z fimbesj=GallonsTiinear;t LAAL <br /> 2= �40173=038 4=065 5=0E3 5= 102 6 = 1515=26 PURGEVOLUIJE <br /> GROUNDWATER PARAMETER IAEASUREM,ENT l✓eter Type42 �— <br /> TimelGallons PH Cond Temp deg C Turbidity Cotorlodor <br /> uomhcs cm), dea F 1, <br /> r Za r <br /> 12 -6 1 7 ?-loo I 7 Z. 2 1 0 <br /> Z-Z- 1 Z14 1 ` , 3 I ZLO I -7 Z, 9 12-- <br /> 1 f <br /> 3z-�, 1 ,o 17,3 1 Z 20 a 1 I 1 <br /> I <br /> 1 I I I 1 I <br /> l I ! f I <br /> I f I T U-) r I <br /> I f <br /> Commen's during well puPO� <br /> Well Pumped dry YES Purge v.'er sloz_eldisposal []D-ummed onsi a 011ier f <br /> 11 WELL SAIAP11N13 <br /> SAIAPLING METHOD DateTme Sampled j —f ! 1 330 <br /> Earler-Type p _`�' ( Sample port ❑ Other <br /> GROUNMYATER SAMPLE PARAV ETER VEASURVAENTS IAeter Type <br /> DatelTmel56 Recharge p'i Co Temp deg C Tu'�idi`y Color/Odor <br /> uornhoalcm dea F NTU <br /> 1 I I I <br /> �SAIAPL_ING PROGRAM,, <br /> SampteNo ConlainerwNolume Anelvss Preservatives L 50.2"ory Comments <br /> I I <br /> 1 I I <br /> I 1 <br /> I I I I <br /> ,QUA6TYCONTR0L SAI4PLES <br /> Duplicate Samples Blank Samples <br /> Onoinal Sam ie No Du (male Sample No T Sam ie Na <br /> Trip <br /> Rinsate <br /> Transfer <br /> Other <br /> P 1f.1r.R1.PlFf�pfJ517Fv_n}JC Wilt <br />