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Groundwater Sampling Form 3 <br /> Protect Name { t,t A" �oL j�„ Well No <br /> Project Number 11--3 o 44 ul Well Type UMonitor ❑Extraction ❑Other <br /> Recorded 8y A r Sampled by A r Date 09 0, of <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter Bailer-Type <br /> ❑ 2-inch m 4-inch ❑Other RP <br /> Well Total Depth(rD,R below TOC) .5-0 S []Other <br /> Deoth to Water L R below TOC Lf 0 7 T PUMP INTAKE <br /> De th to free Kase hygrocarbons FP ftbelow TOC Near top Depth(ft) <br /> Number o well volumes to be pur ed ear Bottom Depth(R) rp T- <br /> 3 ❑ 10 Other y Other <br /> PURGE VOLUME CALCULATION Pumping Rate ) S gpm <br /> / o /s' x . bL x y a-6. al <br /> Water Column Length Multiplier No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER asin Dia iricfles =Gallons/Gnear ft 8.0 a <br /> [2=01713=03814=066[45=08315=1 02 6=1 518=&6 6 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type S) <br /> Time/Gallons pH Cond Temp deg C Turbidity nom_ Color/Odor <br /> uamhoslcm d F NTU W <br /> / y`1 y v ar_ t3 q94— <br /> o 0 `iYnj c° 0 'J-r <br /> 4w8 it <br /> 0 I . 3 a y oo �.� o <br /> / <br /> / <br /> / <br /> Comments during well purge <br /> Well Pumped dry- YESNO Purge water storage/disposal ❑Drummed onsite 30theP#lArA, ►e itcY- <br /> WELL SAMPLING <br /> SAMPLING METHOD DatelTune Sampled og)-L`1,4 / / 6 3-3 <br /> Bailer-Type Q Olr ort(I, Sample port ❑ <br /> Other ❑_ <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> Date/runef%Recharge pH Cond Temp deg C Turbidity Calor/Odor <br /> uomhos/cm Ndeg F fNTU1 <br /> O o <br /> SAMPLING PROGRAM <br /> Sample No I Container#Nalume Ana is Preservatives Labarato Comments <br /> A3 L <br /> QUALITY CONTROL SAMPLES <br /> Du ticate Samples Blank Samples <br /> On rnal Sam le No Duplicate Sample No Tym Sam le No <br /> Trip S Mw j.0 <br /> Rinsate <br /> Transfer <br /> Other <br /> P 1GWMPIFORMSITEX_QMS WK1 <br />