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l � <br /> Protect Name ! kkA C U Groundwater Sampling Form <br /> .��LL k T--A, Well No ]- <br /> Protect Number J 13 044 o l Well Type E Mondor ❑Extraction []Other <br /> r3th <br /> d By A-r Sampled by !` Date 0 9 l.1 qy <br /> WELL PURGING <br /> E VOLUME PURGE METHOD <br /> Welling diameter ❑Sailer-Type <br /> ch JK 4-inch ❑Other &Pump-Type (1-le— <br /> 1 Depth(TD,R below TOC) T -6 o []Other <br /> �Qle <br /> Water R below TOC 9 �� PUMP INTAKE <br /> free hale h rocarbons FP R below TOC Neat top Depth(R)o well Volumes to be pur ear Bottom Depth(R) �T 10 Other y Other <br /> GE VOLUME CALCULATION Pumping Rate gpm <br /> x y r al <br /> Water Column Length Multiplier No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dia inches =Gallons/inear fl) <br /> J. a <br /> 2=0173=038 4=066 5=0831 5=102 6= 158=25 ACTUAL PURGE VOL UME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type SJ <br /> Time/Gallons pH Cond Temp f3deg C Turbidity Color/Odor <br /> uomhos/cm d F NTU A7"W <br /> y ti / b a I o a3 3 <br /> t)42, / S u - <br /> S'0 to I iJ y /-w 1 T L� 5-U `''4 <br /> Io 1 1 2, rY 80 a r lS' 3 <br /> CA <br /> Comments dunng well pnNo <br /> Well Pumped dry YES Purge water storageldisposal Drummed onsite ®Other Tit AvAe% A /Zs-Ph '.4 <br /> WELL SAMPLING <br /> SAM PUNG METHOD Daterrune Sampled 09x3-94 <br /> Bailer-Type ® /r orA(fa Sample port ❑ Other a <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type I-1 <br /> Date/Time/%Recharge pH Cond ETemp deg C Turbidity Color/Odor <br /> uomhos/cm d F NTI) <br /> 05 119 / v /lou -3 TS 1 at7o s <br /> 0 <br /> SAMPUNG PROGRAM <br /> Sam le No Container X/V me Ana rs Preservatives f Laborato Comments <br /> t���u To„ a.�„ N 4 N ► G <br /> QUAUTY CONTROL SAMPLES <br /> Duplicate Samples Blank Sam les <br /> On mal Sample No Du licate Sam le No Type Sample No <br /> Trip /V'6. 17 <br /> Rinsate <br /> Transfer <br /> Other <br /> P IGWMPIFORMSkTEx_OMS WKt <br />