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Groundwater Sampling Form <br /> Project Name L- f"0 T-D& Well No <br /> Project Number j JL3 w-i-4 b ) Well Type Mondor []Extraction []Other <br /> Recorded By r <br /> Sampled by Q Date d q JL 9�I <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter ❑Bailer-Type <br /> ❑ 2-inch ® 4-4nch ❑Other Pump-Type <br /> Well Total Depth(TD ft below TOC) ��� ❑Other <br /> De th to Water WL.ft below TOC 43 <br /> PUMP INTAKE <br /> De th to free Phase h drocarbans FPR below TOC Neartop Depth(ft) <br /> Number o well volumes to be pur y ear Bottom 0 <br /> ❑ 3 C110 ed <br /> Other Depth(R) <br /> PURGE VOLUME CALCULATION{ c� Pumping Rate �- Jr— qpm <br /> 0. 07 X X 1 = aC.y gal <br /> Water Column LengthMulbpirer No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dia inches =GallonsTinear ft - r a <br /> 12=01713=03514=066[45=08315=10216=1518=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type YS-) <br /> Time/Gallons pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm (NTU) T <br /> / <br /> / <br /> / <br /> y� y <br /> / <br /> Comments dunng well purge C../MJ Q S- <br /> Well Pumped d2�jEj NO Purge water storageldisposal ❑Drummed onsrteOther l AArrfa <br /> WELL SAMPLING <br /> SAMPLING METHOD Daternme Sampled D�1:,,c1'4 <br /> Bader-Type ® JO)E orAL)-, pa Sample rt Q <br /> p ❑ Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> DaterTimef%Recharge pH Cond Temp deg C Turbidity ColodOdor <br /> uomhos/cm d F NTU <br /> `}-)3`1 , a�w , � G&. 04`.4 <br /> SAMPLING PROGRAM <br /> Sample Na I Container RNolume I Analysis Preservatrves Laborato Comments <br /> Q_k,g4u f oLkrw- O.r.� tx }fV � L <br /> QUALITY CONTROL SAMPLES <br /> Duplicate Samples Blank Samples <br /> On mal Sam le No flu licate Sam le Na Type Sample No <br /> Tn S ,•,,. T lQ <br /> Ru7sate <br /> Transfer <br /> Other <br /> P IGWMPIFORMSITFx-OMS WK1 <br />