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Groundwater Sampling Form <br /> Project!Jame Cv STJc-kTo,- Well No M W <br /> Project Number 3 n 3 6 0 1 Well Type ®Monitor ❑E raction ❑Other <br /> Recorded By S b Sampled �At <br /> p y Ft_ S Date 4 c} 23L ON <br /> y <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter ❑Bader-Type <br /> ❑ 2+nch 4.14anch ❑Other Pump-Type [, ' <br /> Well Total Depth(TD,R below TOC) 5-6,0 ❑Other ' <br /> Dergh to Water ML.R below TQC 3V - €3 PUMP INTAKE <br /> Oe th to free hale hydrocarbons fFP R below TOC Near top Depth(R) <br /> Number o well volumes to be pur Near Bottom Depth(R) r o <br /> ❑ 3 E] 10 Other Other <br /> PURGE VOLUME CALCULATION Pumping Rate gpm <br /> II .I-) x x y a0) yU al <br /> Water Column Length Multiplier No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casino DQ inches =GallonslTnear R al <br /> 2=0173=038 4=065 5=083 5= 10216=1 518 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type S J <br /> rime/Gallons pH Cond Temp deg C Turbidity CObf/Odor <br /> 1 uomhos/cm Hdea F NTU TW <br /> 634 a1 o <br /> 0144 a r -1-3 <br /> o146 / 3=r 46 1496 14 <br /> 111 <br /> 0 9 1 3 3 .6 9 o'a <br /> 1 <br /> / <br /> 1 <br /> Comments dunng well purge <br /> Well Pumped dry YES qN Purge water storagWdtsposal ❑Drummed onsite 00ther?r- <br /> WELL SAMPLING <br /> SAMPLING METHOD- DatelTune Sampled 0 9�4 9 V <br /> Sailer-Type Sample port ❑ Other 0 1 AAmro t fA AcAl m•/ <br /> 'GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> DatelTimef%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uamhos/cm d F NTU <br /> 69/5' / t . 6s re3r' a <br /> LIE <br /> SAMPLING PROGRAM <br /> Sample No Container#/Volume Ana rs Preservatives Laborat Comments <br /> QUALITY CONTROL SAMPLES <br /> Duplicate Samples Blank Samples <br /> On rnaf Sam le No Duplicate Sample No TN Sam le No <br /> T - Mu T13 <br /> Ruisate• T S - M 6 <br /> Transfer ` <br /> Other- <br /> P IGWMPIFORMSITEX_OMS WK1 <br />