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q) rfl- IJ <br /> Groundwater Sampling Form <br /> Project!Fame 440 us G14pRTE-R wY - Well No MU- 3 <br /> Project Number c150Z14• Z t VVell Type LKOnrlor []Extraction Other <br /> Recorded By Fag Sampled by BB Date Z f It.1qB <br /> WELL PURGING <br /> PURGE VOLUME PURGE fdsETHOD <br /> Well casing diameter Sai r-Type <br /> D 2-inch flinch Other 2rump-Type .PG <br /> Well Total Depth(TD,ft below TOC) yet Other - <br /> De th to Water L I betcw TOC 31 Z7- PUMP INTAKE <br /> De th to tree 0h2se hvdra--atbons FP fl below TOC Near top Depth(ft) <br /> fJumber o well volumes to -pur ed ear 6o tom Depth(fi) <br /> 3 10 r Other Other <br /> PURGE VOLUI.!E CALCULATION Pumping Rale to opm <br /> I 3 X 6. X 131 32-4-3ozl <br /> 1:'G'er Col.irsn Length feu.ipl er No Vo's CALCULATED PURGE VOLUME <br /> MULTIPLIER C2sinR D.a rincllesl=GallonsJfjnear P par <br /> 2=0173=038 4 =065 JA5=083 15=102 16= 15 18=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meler Type KMS Lpt]S _ <br /> E:::-- Time/Gallons p4 Cond Temp deg C I Turbid;`y Color/Odor <br /> uomhcsrcm deo F NTU <br /> / r <br /> / f1 7,iz& i <br /> / 2 r <br /> � � f <br /> 1 <br /> Commen's dunng well puro <br /> 1'*'ell Pumped dy YES O Purge v.-Ver storageldsposal DDrurnmed onsite Other -re-xAcp <br /> WELL SANFaPLING <br /> SAMPLING METHOD Samped fez-6 <br /> £a ler-T�pe`O S— _ W/� Sample port Other {� <br /> GROUNDWATER SAMPLE PARA1,ETER}'EASUREMENT$ Meler Type <br /> Date171me1%Recha,ge pit Cond Tema deg C Turb�drty � Color/Odor <br /> uomhCs/cm dea F NTU <br /> / 1 <br /> SAMPLING PROGRAI.J <br /> Sem Ie No 1Con'a,ner;r/Vo1jme I Anatvs,s Preservatives Laboratory Comments <br /> 3 /9a ML woA ITPN- <br /> QUALITY CONTROL SAMPLES 4 <br /> Du Gcate Samples Blank Samples <br /> Onomat Sarrt le No Du locale Sample No TvDe Sample No <br /> Tn <br /> Rinsate <br /> Transfer <br /> Other <br />