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GROUNDWATER SAMPLING FORM <br /> .E PROJECT €NFORMAT€ON <br /> � , , <br /> PROJECT NAME 9�! 'SY a`}cclrtid,n PROJECT NUMBER , CCS' V WELL NO <br /> PROJECT MANAGER t4 TYPE OF WELL ✓ Monitonng Extraction Other <br /> RECORDED BY AF SAMPLED BYE DATE �k <br /> WELL PURGING INFORMA T ION l <br /> PURGE VOLUME PURGE METHOD E <br /> We awg Diameter <br /> 2 inch 4-inch Other Bailer - Type <br /> Well Totalyp <br /> Other Speec fy Depth �� feet befow Top of Casing,TO Pump Tc <br /> - 1 { <br /> Decth to Water �3 feet below Too of Casing,WL <br /> Hydro ban Odors <br /> Water Column Length feet <br /> Purge Vciume Caic iiaucn (Water <br /> -Column Length x Muitipber x No Votumes w Caicuiated Purge Volume) f <br /> X l 1 G X - �� �- Calc lated Purge Volume = u Cgallons <br /> 4 (WCL) (Multiplier) (No Votumes) Actual Purge Volume = S• L cailons <br /> Murtioller Casa Diameter ITndiesi = Ga4onsilrnear footle 2=0 17 4L=ix66 6=1 G 8=26 <br /> I <br /> Groundwater Parameter Measurement Meter Type P - 1�-CCalibrated ✓tees�NQ <br /> ME I ELAPSE:) I -r_CwRATE I CTW I pH _C ! 1_x TURSICI-rl RECCX CCMMPNTS <br /> TIME (GPA (ft) FF (NTL) mV ?I 16C-4- <br /> 0'0'92$1 I I I z3s,�� 7. Z•? ��� 13, I I,L n-ciu &L IL i 24 ,2-o 7 <br /> en <br /> I <br /> 1 10 214- 31 4, 22. E <br /> I I I I <br /> I I I I I I I <br /> I I I I I I I I I <br /> I I I I I I 1 I i <br /> I I I I I I I <br /> i <br /> I <br /> I <br /> I <br /> ASSOCIATES INC. <br /> ENWRONMENTAL,GEQTECHH}CAL AND MATE <br /> RfAL4 PROFE557QNALS <br />