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GRCUNDWA T ER SAMPLING FORM <br /> PRCJEi"T NAM N -S <br /> `�. +� PROJECT NC.iMHER:JrI �0({Q� WEL_ NO. I <br /> PROJECT MANAGER: TYPE OF WELL Monitoring F—xtrecdon <br /> Other'. E <br /> i RECORCEO EY: /� SAMPLED EY: %�'f / I <br /> M DATE: Q.3C�2� i <br />• ....:= ::.- .....::: ... ::. ...:: ::.::,; ...:: .':UVEf L::r�iE�CFNe iatlF�Riti�AT:�Qa�f: <br /> 1 <br /> PURGE VOLUME PURGE METHOa <br /> Weil ' Ing Diameter <br /> incl 4-matt Other <br /> i OSailer - Type <br /> Well Total Depth �r 1 I® feet below Tap of Casing, 70 Pump - Type <br /> / Other - specify <br /> Depth to Water .��'` 'C feet below Top of Casing,WL <br /> Hydrocarbon Odors: <br /> Water Column Length IDS feet Yes Na <br /> Purge Volume Cslcslatton (Water Column Length x Multiplier x No.Volumes = CalculateC Purge Volume) <br /> FL7x r17X 0 _ 5".cc, 0 � <br /> (WCL) (Multiplier) (Na.Volumes) ' Calculated Purge Volume = J (G Ions <br /> Actual Purge Volume = =--gallons <br /> ::: lflnlfet lCasirta.Qiametef'::f#�tiesF:=:=; alfass.�LEtiie foo�k. 2.=.P.}T.s =46 :>?: �..5> 'S:- r <br /> Groundwater Parameter Measurement: Meter Type Calibrated:le ee,—No <br /> TIME �ELAPSFZ ✓LO RATE OTW I PH EC TURe101rf REDOX COMMENTS r <br /> TIME t M3 (ft) aahoslem i(►YN) <br /> d R I mV <br /> Q 10- (7 126 ;-e- I � <br /> I <br /> 'i I <br /> I <br /> I <br /> ASSOCIATES INC. <br /> "-H, ENr.4L,CiQ CtrN1CALAKU&1ATFMAL5PRCF=J0NALi 4tr <br /> F <br /> I <br />