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Groundwater Sampling Form <br /> Project Name p v c T.A-- Well No /I <br /> Project Number 3 p-fy j Well Type WMonrtor ❑Extraction []Other <br /> AftRecorded By A r Sampled by __ A- r _ Date O <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter ❑Bader-Type <br /> ❑ 2-+nch IS 4-inch ❑Other Pump-Type <br /> Well Total Depth(TD ft below TOC) y q .5- []Other <br /> De h-toWaterlWL.ft belowTOCI I °) 13 PUMP INTAKE <br /> De th to free Kase hydrocarbons FP ft below TOC Near top Depth{ft} <br /> 9Number o well volumes to be pu ed Near Bottom Depth _ <br /> ❑ 3 ❑ 10 Other Other (ft) <br /> PURGE VOLUME CALCULATION Pumping Rate J s gpm <br /> l <br /> X �'� X 4 al <br /> Water Column Length MuMplier No Vols LCALCULATED PURGE VOLUME <br /> MULTIPLIER(Casinq Dta inches =Gallans/Unear ft) galJ <br /> 2=0173=038 4=066 45=083 15=102 16= 15 18=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type 1-, <br /> deg C Turbidrty Color/Odor <br /> uomhos/cm d F NTU Q7`1wJ <br /> TimelGallons pFi Cond Temp <br /> v`Tr- <br /> � <br /> o 4 GY S-0 <br /> I <br /> Comments during well purge <br /> Well Pumped dry YESNO Purge water storage/disposal []Drummedonsite LN 1 <br /> WELL SAMPLING <br /> SAMPLING METHOD Date/time Sampled 01a_a 1-m I . )F?J <br /> Bader-Type g 6 s or,Q, Sample port � Other (1 <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type ^� <br /> Date/Tunel%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm d F NTU <br /> SAMPLING PROGRAM <br /> Sample NoContainer#/Vo ume Ana rs Preservatrves LaboratoryComments <br /> %Q.kc7ow.° ScKryo ML. <br /> QUALITY CONTROL SAMPLES <br /> Duplicate Samples Blank Sam les <br /> On mat Sam le No Duplicate Sample No Type Sam le No <br /> Trip �'r V.1•i -TG <br /> Rmsate <br /> Transfer <br /> Other <br /> P 1GWMPIFORMSITEX-QMS WK1 <br />