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e <br /> Groundwater Sampling Form <br /> Project NameI E;)rq G e S�—p`k j Cti Well No H <br /> Project Number I a-3 04-t 1 Well Type ❑monitor ❑Extraction ❑Other <br /> Recorded By A r Sampled by A n Date d R 13.9`t <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter []Bailer-Type <br /> ❑ 2anch n 4-unch ❑Other -- Sther <br /> ump-Type <br /> RWell Total Depth(TD below TOC) 4S 0 <br /> De h to Water PNL, ft below TOC 3 �`1 PUMP INTAKE <br /> De th to free phasS h rocarbons FP ft below TOCI Near top Depth(ft) <br /> Number or well volumes to p ed ear Bottom Depth(ft) — <br /> ❑ 3 ❑ 10 Other Other <br /> PURGE VOLUME CALCULATION Pumping Rate rl S gpm <br /> b 3 G x �'�' x J q <br /> Water Column Length Multiplier No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dia rinchesl=GallonsRnear ft) gals <br /> 2=0 17[3=038i4=066L45=083J5=1 0216=1 5 18=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type rl <br /> Time/Gallons pH Cond Temp deg C Turbidity Calor/Odor <br /> uomhos/cml I IdeaF NTU a v, <br /> 30 ! Asa 3-1 JL -1 L) <br /> 04— <br /> T-33 / }°1 r 7 a 6° 1 9 3 8 ? l <br /> r3 ata 0 XD 4,17 <br /> r 3 °� / �� V 3 o S-0 Z31 f a 00 / <br /> 1 <br /> Comments during well purgeS t nr� U4-,, d T <br /> Well Pumped dry' YES NO Purge water storage/disposai Drummed onsite faOther7.0 d, 4- <br /> 17 <br /> WELL SAMPLING <br /> SAMPLING METHOD DatelTime Sampled 0 9 319y / <br /> Bailer-Type 0 J r�orwt. _ _ Sample port ❑ Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> Date/Tktte%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> vomhos/cm d F NTIJ <br /> SAMPLING PROGRAM <br /> Sample Na Container#/Volume Ana is Preservatives Laboratory Comments <br /> e� u �lr Taw oeac t, Ali- ► L_ <br /> QUALITY CONTROL SAMPLES <br /> Duplicate Samples Blank Samples On inal Sam Ie Na Du Grate Sample No T Sam le No <br /> Trip N+1.+ T[3 <br /> Rinsate T S M 1 I <br /> Transfer <br /> Other <br /> P%GWMPIFORMS%TEX-OMS WKt <br />