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Groundwater Sampling Form <br /> Prolecl Name y40 W C►tpRT�R t,,y Well No <br /> Project Number Ct5cZ-s6• ej Wet[Type Mondor DExtract:on []Other <br /> Recorded By i3S Sampled by 6S Date <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing dameler Bader'.Type <br /> ❑ 2-+nch 4-inch ❑Other <br /> ump-Type _ <br /> Wel[Total Depth(TD,ft below TOC) 6— ❑Other <br /> De Ih to Water NL ft below TOC PUlAP INTAKE <br /> Depth to free Dh2se h drocar5ons fFP.ft below TOC Nea top Depth(ft) <br /> N r o well volumes to be pureed ear Bottom Depth(ft) <br /> 3 ❑ 10 Other Other <br /> PURGE VOLUVE CALCULATION yJ Pumping Rate gpm <br /> 61 x 11 x — gal <br /> WVer Column Leny^th M .jr:p,er No Vols CALCULATED PURGE VOLUME <br /> r.1ULTJPLIER Casin Da inches <br /> = = Gallonsflinear" ca, <br /> 20173=038 4=066 45=083 5=102 16 = 15 8=26 L ACTUAL PURGEVOLUr✓,E <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type MYt2 L.pDS <br /> Time/Gallons psi Cond I Temp deg C Turbidity COIOr/Odor � <br /> uomhcsrcm dee F NTU <br /> l I ,9 ! 71vCa I <br /> �Za i <br /> / <br /> 1 i <br /> Commen's dunng well purge <br /> Well Pumped dy YES NO ) Purge water storageldsposal []Drummed onsite Other TEhAco <br /> WELL SAM► PLiNG <br /> SAMPLING METHOD Dalef—lime Sampled .2�' / 4 <br /> £a Ier-T}pe`Q 5>—.g 171f-- <br /> j Sample port ❑ Ocher l ' <br /> GROUNDWATER SAMPLE PARAMETER 1.1EASUREMENTS IJeler Type <br /> DafelTme1%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm dea F NTV <br /> SAMPLING PROGRArA <br /> Sample No Contai-:erzNolume Analvs� Preservatives Laboratory Comments <br /> /J 3 ��q ML voA TF7FI-C� 6 taGC. BG <br /> ! i <br /> ! i <br /> I <br /> QUALITY CONTROL SAMPLES <br /> Du Gcale Samples Blank Sam les <br /> Onainal Sam le No Du rmale Sample No Tvi>eSam le No <br /> Tn <br /> Rinsate <br /> Transfer <br /> Other <br />