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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME ldv, PROJECT NUMBER 5�1 �(�® WELL NO JU Uj1 <br /> PROJECT MANAGER TYPE OF WELL --V—' Monitonng Extraction Other <br /> RECORBED BY A SAMPLED BY A--f- DATE <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOO <br /> Well Cas g Diameter - <br /> -�nch flinch Other �ader - Type � /O I.,- <br /> -Pump Type <br /> Well Total Depth �feet below Top of Casing,TD Other - Specify <br /> Depth to Water Zg{�� feet below Top of Casing,WL Hydra n Odors <br /> Wafer Column Length feet <br /> Yes No <br /> Purge Vol{lume Calculation (Water Column Length x Murapher x No Volumes = Calcuiatac Purge Volume) <br /> X �. X = • SL so [ 7� <br /> Calculated Purge Volume = � �v allans I, <br /> (WCL) (Multiplier) (No Volumes) Actual Purge Volume = _ l ciallons <br /> IiMultioller (Cast Drameter e-hest = Galla near footle Z=017 4=20-M 6=15 8Y 26 <br /> Groundwater Parameter Measurement: Meter Type alibrateGes No <br /> TIME (ELAPSED FLOWRATE DTW PH EC TURElurry REDOX COMMEN' <br /> TIME (QPM) (ft) anhardem d C 04TU) mV <br /> dr LA <br /> o61 zv, A <br /> los — t C, zA lc Iani 03ev <br /> i I f 5 11,04 lro a 1 <br /> I <br /> I <br /> I <br /> X�88''11 SS <br /> ENVIRONM=GEOrECHNICA1.AN �LS RO <br />