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r� <br /> GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME M AS PROJECT NUMBER :54- q9k% ()0( WELL NO <br /> PROJECT MANAGER A kA _ TYPE OF WELL _.,,Z Monitonng Extraction Other <br /> RECORDED BY �'►F T SAMPLED BY AF DATE <br /> WELL PURGING INi"ORMATICN <br /> PURGE VOLUME PURGE METHOD <br /> Well' sing Diameter <br /> 2-inch 4-inch Other <br /> Bader - Type T46, <br /> Pum Type <br /> Well Total depth - 4 feet below Top of Casing,TD Other - Specify <br /> Depth to Water Z , r 67 feet below Tap of Casing,WL <br /> Hydrqdarbon Cdars <br /> Water Column Length 13 '1'3 feet -tl es No <br /> Purge Volume Calcuiatton (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> Ii i3x 011-7 x 3 - «�o �3t+ <br /> Calcuiated Purge Volume gallons <br /> (WCL) (MutUplier) (No Volumes) Actual Purge Volume = _ ,$�O gallons <br /> Muit3olter (Casing Diameter Fnchesj Gallonshnear foot 2=❑17 4=OZ6 6=15 &=2e <br /> Groundwater Parameter Measurement Meter Typ se� 1_ 35+(-Calibrated , Yes_No <br /> TIME ELAPSED FLOWRATE ❑TW pH EC T TURBIDITY RE❑OX COMMENTS <br /> TIME (GPM) (ft) mmhcslcm (NTU) mV � <br /> deg F <br /> em Io C6. 2S,&.,7 72 c -71 2-11 Z u A, p, li 4rtCL ©r ll, ,A, <br /> / 1:2 y Q♦i <br /> 2} !O 4 5 0 5" 11 7Z�1.2, <br /> EIMAVGE07LCHN �SOCIATEfEI CS <br />