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a, <br /> `1 Groundwater Sampling Form <br /> Project Name _ ! L?k q Cu r7`-o k Well No <br /> Project Number I a�3 0'-14 c j Well Type 9mondor ❑Extraction ❑Other <br /> Recorded By A f <br /> Sampled by � Date C} q 3-1 9 y <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Welt casing dcameter Bailer-Type <br /> ❑ 2anch 4-�nch ❑Other []Pump.Type <br /> Well Tatal Depth(TD,R below TOC) �f o []Other <br /> De th to Water R below TOC bN PUMP INTAKE <br /> De th to free Kase h rocarbons FP below TOC Near lop Depth(R} <br /> Number o well volumes to be pur ed Near Bottom Depth(R) <br /> ❑ 3 ❑ 10 Other y Other <br /> PURGE VOLUME CALCULATION Pumping Rate gpm <br /> �, 93 X _ X 9 a! <br /> Water Column Length Muttipber No Vols L CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dea inches =GallonsTnear R 3 0 a <br /> 20173=038 J4=066145=0a3 5=102 16- 1 5 fS=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type -71 <br /> Time/Gallons pH Conti Temp deg C Turbiddy Color/Odor <br /> uamhaslcm d F NTLI pTW <br /> 0 €`t q <br /> 6 I by r 3 L <br /> / <br /> OOS / 1 60 )6 -) 6 <br /> b 4 1 i,V4 a f• <br /> / <br /> / <br /> Comments dune urge <br /> Well Pumped d YE NO Purge water storage/disposal 0 Drummed onsite Other r;k.J�, to fLic.JF, <br /> WELL SAMPLING <br /> -SAMPLING METHOD- Oaterriime Sampled O1,540V4 / /O-Loo <br /> Bader-Type (@ Sample port ❑ Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type Y5 f <br /> Daterrffne!%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm d F NTU <br /> /? a 30 d-0-4— <br /> SAMPUNG PROGRAM <br /> Sam le No I Container#/Volume An is Preservatives I Laborato Comments <br /> o O Lr l.) 71 C_ <br /> QUALITY CONTROL SAMPLES <br /> Du Iccate Sam fes Blank Samples <br /> On inal Sam ie No )uplicate Sam le No T Sam to No <br /> Trip S-pn w Te <br /> Rinsate <br /> Transfer <br /> Other <br /> P 1GWMPIFORMSITEX-OMS WKt <br />