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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME ` ia_3w1�,+\PROJECT NUMBER 'S'�,149%j OCb 1 WELL NO M�—3 <br /> PROJECT MANAGER TYPE OF WELL V' Monitoring Extraction Cther <br /> RECORDED BY ►4F SAMPLED BY DATE CG I Zo o <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> WeII Casing Oiameter <br /> 1/ 2-inch 4+nch Otherler - Type 1� j <br /> Pump - Type( 0 14__��`� CY } <br /> Well Total Depth _ g Q fo feet beiow Tap of Casing,TO61 <br /> Other - Speafy <br /> Depth to Water feet below Top of Casing,WL Hydr rt:on Odors <br /> Yes <br /> Water Column Length 15- )Qeat No <br /> EPurge Volume Calcilaticn (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> isl <br /> ) ! 0 X t X 1> = 7,-7 Calc.iiated Purge Volume = 77o c3allons <br /> (WCL) (Muitiplier) (No Volumes) Actuai Purge Volume = allons <br /> ' Mttllollef Casing Diameter Rnchesi = >Galtonsllmear food 2=0 iT 4=0-66 `6=1 5 B=2 6 � <br /> { Groundwater Parameter Measurement Meter Typ S[ � Calibrated Yes No <br /> OO <br /> TIME I ELAPSE❑ FLOWRATE [)TW CH EC TURS101711 RECCX COMMENTS I <br /> TIME ( 1 ) (ft) anhoslcm * (NTt) mV <br /> An t! i <br /> / Z3,40 74.1 10,L5 -22-k -" 5f k <br /> � o I 17 Z3 -7-2-1 0 �6Zzz- 8 do'sCX <br /> ejj I -L3,10 7. 2C. 0 ,C-3 ZZ. � z <br /> 69 i 1 9 23, 5_3 7.2Z at, 2-231 :rte <br /> - I I <br /> ------------ <br /> ! I I 1 <br /> 1 I � <br /> I I I ! I I <br /> i I I I <br /> I <br /> ! I I 1 <br /> I I II <br /> I <br /> INC. <br /> EWPONMENTAL.9077ECHN6CASIL ANO MATER ALLS PROFESSIONALS <br />