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Groundwater Sampling Form <br /> Project Name 440 W GI-iART'EFi wY Well No MW-�> <br /> Project Number q50216- Zy Welt Type -"0M0nd0r ❑Extraction ❑Other <br /> Recorded By 66 Sampled by 66 Date Z!It.J<45 <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter ❑B filer-Type <br /> ❑ 2-inch 4-inch []Other Wump-Type <br /> Well Total Depth(TD,ft below TOC) 1-6 sP ❑Other <br /> Depth to Water L ft below TOC) -#O PUMP INTAKE <br /> De th to free base h drocarbons I FP ft below TOC ar lop Depth(ft) `yam <br /> Number of well volumes to be pur ed Near Bottom Depth(ft) <br /> 3 ❑ 10 piper Other <br /> PURGE VOLUME CALCULATION Pumping Rate Ca gpm <br /> 1.4 5 X LAQ X 9 y 3 = S <br /> aal <br /> Water Col,rmn Length M.0 tlpl,er No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dia Inches =Gallonslhnear fi a+ <br /> 2=0173=038 4=06645=053 5=102 16=15 8=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREf,ENT Meter Type _MM013 LADS <br /> Time/Gallons pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm de F NTU <br /> / 2G <br /> I � <br /> Comments dunng well purge <br /> Well Pumped dry' YE Np Purge v.-ater storage/disposal []Drummed onsrte Other TE7rAco <br /> WELL SAMPLING <br /> SAMPLING METHOD Date/Time Sampled 2-111.- /,115 / I lZ_0 <br /> Ea ler-T)pe"E] S B Sample port ❑ Other <br /> F1 <br /> GROUNOViATER SAMPLE PARAMIETER MEASUREMENTS Meter Type <br /> Date/Time/%Recharge pH Gond Temp deg C Turbidity Color/Odor <br /> uomhcs/cm dea F fNTU1 <br /> SAMPLING PROGRAM <br /> Sample No I Container VVolume in a—Ivs is Preservatives I Laboratory Comments <br /> 3 y6 ML voA TPN-6eTV 6a <br /> QUALITY CONTROL SAMPLES <br /> Du locate Samples Blank Samples <br /> Onainal Sarn le No Duplicate Sample No T Sample No <br /> Tn <br /> Rinsate <br /> Transfer <br /> Other <br /> P 1P_1�lMb5RhDi�l`iTCv 111/G tinw� <br />