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GROUNDWATER SAMPLING FORM <br /> FROJECT INFORMATION <br /> n <br /> R0.1>=C T NAME J r r� 0�� PRC.ECT NUMBER .�`� �� �Il 0.�in WE!L NO <br /> PROJECT MANAGER TYFE OF WELL �Monitonrsg Extraction Cther <br /> RECORDED BY � r SAMPT.-.D EY DATE n30 6o <br /> WE=! PIERCING INFORMA.Tiot4 <br /> ei <br /> l 9 GLUME PURGE MET rfOD <br /> Well tng Ciameier '// <br /> 2�nc't 4-mch Other 811e1 - Type <br /> - <br /> Well Total Depth feet below Tap of Casing,TD Puma Type <br /> Other - Spea.fy <br /> Depth to Water d7' C)1 feet below Tap of Casing,WL <br /> Yes No <br /> HyCrt:�an Cdars <br /> fir// <br /> Water Column Lenfeet(eel <br /> Purge Vatlum�efCatcslatton (Water Column Lengtts x Multiplier x No Volumes r= Calc dates Purge Veiume) <br /> 11,62'6r X (_ �� 5, X .3 _ 5 (`� Calcstated Purge Volume = Jr, (e ?c ens <br /> (WCL) (Mumpher) v (No Vatumes} Actual Pune Volume = lorss <br /> fdslticller (Casirc Diameter rinc-Zesl -GallonsameaF fecq 2=6 IT, 4=4Lae 6=1s. a=2-tx <br /> Grounawater Parameter Measurement Meter Type Calibrated ✓Yes—Ho <br /> TIME E-APSEC r'LCWRAic DTW ph EC T- TLR811017iY REDCX CCMMENTS <br /> i T iME (GPM) (R) I snnaslcn I d g C (N7LJ) mV <br /> 7,26 112 3719,7 1 IA, <br /> 1017I 0 1 —i t K) 0,3i <br /> -361 <br /> 17 1 I Ge SS # 6,36- 1 20 1 <br /> Oct I ILj, 1-112 91 C '71 6, —551 2a 1 I <br /> I I I I I I <br /> ITAN <br /> i I I I 1 I I I <br /> I I I I I I• I I <br /> I i I I I I I I I <br /> i I I I I 1 I I I 1 <br /> 1 I 1 I I I I I 1 <br /> 1 1 I I I I <br /> ! 1 I I I I I I I 1 <br /> I i I I I I I I <br /> i I I I I I I 1 <br /> ASSOCIA ES INC. <br /> &WRONNEN'rAL,CEOTECNWCAL.AND M4TM8LA1S PROFES50NALS <br />