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Groundwater Sampling Form <br /> Protect Name _xqC o S~r-a ck%oU Well No 19 <br /> Project Number �3 03& o I Well Type �MoMor ❑Extraction []Other <br /> Recorded By r Sampled by A S Date 0 9 as q <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter ❑Bader-Type <br /> ❑ 2-4nch X 4-inch r�Other Pump-Type <br /> Welt Total Depth(TD ft below TOC) so ❑Other <br /> Deoth to Water L R below TOC 3 U, PUMP INTAKE <br /> [Depth to free phase hydrocarbons FP ft below TOC Near top Depth(R) <br /> Number of-well volumes to be puNear Bottom Depth(R) SO o <br /> ❑ 3 ❑ 10 n Other I HOther <br /> PURGE VOLUME CALCULATION Pumping Rate .S gpm <br /> 1 1 . 5'4 x � �i, x = 3c r <br /> at <br /> Water Column Length Mulbplier No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dia inches =GallonsRnear R 31 57 gal <br /> 2=0173=038 4=066 45=083 5= 10216 1 5 18=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type _ S ! <br /> Time/Gallons pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm d F NTL p <br /> Sod OPT a u. r 3If <br /> .. <br /> 4,1- <br /> 0 FIX <br /> l ! 13T <br /> LE <br /> S 3 <br /> a4 ! 3 s -13.- <br /> Comments <br /> 1iComments during well purge <br /> Well Pum dry-7 YES Purge water storageldisposal []Drummed onsite ❑Other <br /> WELL SAMPLING <br /> SAMPLING METHOD Daterrime Sampled 01 a i- `� l - 01 If r <br /> Bailer-Type R Dis�S_b11 Sample part ❑ Other Q <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type 'y5:-1 <br /> Daterrlmef%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm d F NTU <br /> o ,�� g ! o 4 S ! TOO 6O 0161 g aye ; Cv�.M=,n qtr <br /> SAMPLING PROGRAM <br /> Sam le NoI Container#/Volume I reservatrves I Laborator Comments <br /> M -a— AAi, L1 D L_7Mch I I tr L 1 L LA <br /> QUALITY CONTROL SAMPLES <br /> Duplicate Samples Blank Sam les <br /> m <br /> On al Sample No Du Ircate Sam le No T Sample No <br /> Tn `5 <br /> Rulsate <br /> Transfer <br /> Other <br /> P IGWMPIFORMSITEX_QMS WK1 <br />