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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME ' , j��[Qck PROJECT NUMBER t{�I y ODI WELL NO Mk1Z <br /> PROJECT MANAGER � t' TYPE OF WELL iZ onitonng Extraction Other <br /> RECORDED BY A SAMPLED BY Ar DATE [ZA 30 <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Weft mg Diameter <br /> 2—inch 4—inchfl Other1 Bader - Type /0 <br /> Well Total Depth S, I V feet below Top of Casing,TD Pump - Type <br /> Outer - Specify � <br /> Depth to Water 2� 2 feet below Top of Casing,WL HydroPar5on Odors <br /> �( .•!! <br /> Water Column Length + 01 feet Yes No <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> t� X 011-7 X 3 .510 Calculated Purge Volume = allons <br /> (WCL) (Multiplier) (No Volumes) r Actual Purge Volume = _ _ "�, gallons <br /> Muttlolier Cast DEarneter ctseel =Gallorw4near food 2=017 4.=Q56 6=1 5 8=26, <br /> Groundwater Parameter Measurement Meter Type JTL MO CalibratedYes No <br /> TIME (ELAPSED FLOWRATE DTW pH EC TEMP TURSErTy REDOX COMMENTS <br /> TIME (GP1 (ft) Ctthoslam eg (NTU) mV ` <br /> !'fes <br /> goo o <br /> I i 0,Y-3 * s t <br /> II <br /> 00 c' "7rb 6 .�f0 2C� <- <br /> /0/3 -1 ^j <br /> Io 2S, I, -7,off 0,3 zo <br /> VAM .ENWROMMEWrAL.GECTECHNICALASSOCIATES EIN <br />