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r � <br /> Groundwater Sampling Form <br /> Project Name 'TP-)(A C,,J Well No Ck <br /> Project Number I d-3 U`t 11 o I Well Type RMonrtor ❑Extraction []Other <br /> AftRecorded By A S Sampled by �4 r Date <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter []Bailer.Type <br /> ❑ 2.nch NJ 4-inch ❑Other ❑Pump-Type <br /> Well Total Depth(TD,It below TOC) ❑Other <br /> Depth to Water WL.R below TOC PUMP INTAKE <br /> De th to free hale h rocarbons FP ft below TOC Near top Depth(ft) <br /> Number o vrell volumes to be puNear Bottom Depth(ft) S e <br /> ❑ 3 ❑ 10 6 Other H Other <br /> PURGE VOLUME CALCULATION Pumping Rate 5~ gpm <br /> / 0 1 X . {if. X = a G a <br /> Water Column 7ength Multiplier No Vols L CALCULATED PURGE VOLUME <br /> MULTIPLIER(Casing Dia inches =Gallons/linear ft <br /> 12-01713=03814=066145=0a315=1 02 6=1 518=26 FACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type _ yr) <br /> rime/Gallons pH Gond Temp deg C Turbidity olodOdor <br /> uomhaslcm I JA2gF NTU �T <br /> 4or f o <br /> `.i f J 4l V)S 1-3.� a 1 rjA&— <br /> I LA <br /> 3 / 11 -7 <br /> 1 <br /> Comments dunng well purge <br /> Well Pumped dry YES Purge water storage/disposal ❑Drummed onsite Other lAA-Aw A- <br /> WELL SAMPLING <br /> SAMPLING METHOD Dateirme Sampled O q la -'04 ! 16/b <br /> Bader-Type D 01 S Qfs rA GA Sample port C] Other n _ <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> Date/Time/9E,Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uomhoslcm d FNTU <br /> SAMPLING PROGRAM <br /> Sam le No Container#Nolume Analysts Preservatives I Laboratory Comments <br /> Lu T7y-k-r­ 1, o 13 �. <br /> QUALITY CONTROL SAMPLES <br /> Duplicate Samples Blank Samples <br /> On mal Sam le NaDu Gcate Sample No T Sam le No <br /> TripS w 7 <br /> Rmsate <br /> Transfer <br /> Other <br /> P 1GWMPWORMSITEX-OMS WK1 <br />