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GROUNDWATEIR SAMPLING FORM l <br /> PRGJET: iNFs RMATiON <br /> PROJECT NAME: !d— PROJE-;,T NUMEER <br /> WELL NO. e <br /> l <br /> PRGJECT MANAGER:— _7(PE OF WELL: ManitOnn <br /> 9 EYtraCiiOf! Other <br /> RE':ORDED BY: SAMPLE=D BY: <br /> :, ..: VVE*'L:: PLU. G'NG',GNFCR11dAT:1ON:: I <br /> PLfRG VOLUME PURGE METHap <br /> Wel ^sing Olameter <br /> _inch A-incn Other <br /> 3� <br /> �� Bailer - Type <br /> Well Tomi Depth t feet below Tap of Casing, TO Pump - Type <br /> } Other - Specify <br /> Depth to Water 12 feet beicw Tap of Casing,WL <br /> Hydrocartan�Od� <br /> Water Column Length feet Yes '" No <br /> Purge Vaiume Calculation (Water Column Length x Multiplier x No.Volumes = Cairtiated Purge Volume) <br /> M�ct:� (Mumolier Calculated Purge Volume = �r�� aai[ons <br /> } (No.Volumes) Ac=J Purge Vciume = rgailans <br /> f <br /> `Fi1f!ltlolierfCgsir'�¢.Qiaaseter`.f�ckies� =�:�aiiiitasfll�esx:fo°s;:. 2==:P�T.::4:�x776�:=: � �.:�.:�>:e;=�� ,..: rc . <br /> I I CraundvYater Parameter Measurement Meter T ey <br /> ypeaiilarated:_Yes Na <br /> TfME El-APSE) Fl-OwRA7'c 0741/ pH EC T=xAP TUREI[7STY REDCX comm g k <br /> WE (GF� (ft} dnhesi= (NTl� mV <br /> eec F I <br /> 0.1 felt, <br /> OI' I� els' ®�5� I I 1 r 127-2 2174,1 0,l 2z 1J <br /> I I I h <br /> I I I II <br /> I I I I <br /> I I I I I <br /> s <br /> I I I <br /> I I I <br /> I I I I I <br /> I <br /> VA=AS.5<DC1A7E5 <br /> pMRCNJNENTAL aMTECHIOCAL ANa MAT77ML5 PUFF[ fDNAL3 <br />