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` GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME K1 kS `l �� ay. PROJECT NUMBER '-5'4'(449%k',0&)lVVELL NO MW . 3 <br /> PROJECT MANAGER _ TYPE OF WELL ✓ Monitoring ExtractlOn Other <br /> RECORDED BY SAMPLED BY A DATE 0321 G I <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well C ing Diameter <br /> 22--inch 4-inch Other filer - Type <br /> Well Total Depth -33'0 (A' feet below Top of Casing,TO Pump - Type <br /> Cther - Specify <br /> Depth to Water Z5 y feet below Top of Casing,WL Hydrocarbon Odors <br /> Water Column Length IZ feat <br /> Yes No <br /> Purge Volume Calculation (Water Column Length x multiplier x No Volumes = Calculated Purge Volume) r <br /> 'it G57 X (3 + 1 X I _ G L{S Calculated Purge Volume = `L4S gallons <br /> (WCL) (Muttiplier) (No Volumes) Actual Purge Volume = L allcns <br /> Muftiplter (CasiM Diameter cher = Gallonsllinear loot 2=Q 17 4=a66 6=1 5��n,rr8=2 6 <br /> Groundwater Parameter Measurement Meter Type 5 l ✓35Z)2Calibrated Yes—No <br /> TIME ELAPSED FLOWRATE DTW pH EC TURBIDITY REDOX COMMENTS <br /> TIME (GPM) (ft) anhoslcm d (NTLI) mV <br /> deg F •� ? <br /> , O t t c0.& o&o it <br /> 6255- 4 -Z k, ov <br /> ,M !bFLIZ, Zt �-o <br /> '=ASSOCIATES INC. <br /> FlYWRONMENTAL GEOTECHNICAL AND MATERIALS PROFESWONALS <br />