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' GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> • PROJECT NAME PROJECT NUMBER `/j4 1%6bC1 WELL NO M\ J—t <br /> PROJECT MANAGER R TYPE OF WELL Z_ Monitoring Extraction Other <br /> RECORDED BY A SAMPLED BY A F DATE 0 3 2-kO I <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> We41 sing Diameter <br /> 2-inch 4-4nch Other Bailer - Type T4+6, -- <br /> Pump - Type <br /> Weil Total Depth L4 a 'LO feet below Top of Casing,TD Other - Specify <br /> Depth to Water 24 k 01 feet below Top of Casing,Wt_ Hydro n Odors <br /> Water Column Length ' feet Yes No <br /> Purge Volume4Calcuiation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> 14, 1 1 X 0, X 3 = 7, 2 Li Calculated Purge Volume = -7 callons <br /> I <br /> (WCL) (Multi pl:er) (No Volumes) Actual Purge Volume = n---gallons <br /> MuitlaAer (Caslrq Diameter itches = GallonsAAnear foot 2=0 17 4=0,66 6=1 5 8=2 6 <br /> Groundwater Parameter Measurement Meter Type S! 3 500 Calibrated Yes No <br /> TIME ELAPSED FLOWRATE DTW pH ECTURBIOrY REDOX COMMENTS <br /> TIME (GPM) (ft) anhoslcm eg C (MTU) mV ? b <br /> �h <br /> to I(o CA ? '25- 0"40 Zt NJ#11 14N r _ Es pY <br /> 020 3 7i V bfy,b 21r � � o <br /> rC1Z $ i 2t . ate! <br /> IOZY !Z. -r 7a lg .�� zt�� r, o <br /> 10-3t tO vo 720 j Zlt <br /> ASOCATE INC. <br /> FNNRaMAL GEOTECHNC L <br /> AND RATERALS PROFESVQNALS <br />