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Birch,Technical Services GROUNDWATER SAMPLING FORM <br /> ' 116 Liberty Street wSanta Cruz, Ca 95060(408)459-0718Well Number: <br /> 90ject Dumber: /0 Sample Type: Gro dwater O Blank ODuplicate of <br /> Station Number:--.d A91ZZZ <br /> Date: .3 / 1 t Sampled by: <br /> WELL PLTR�-YNG <br /> PURGE Casing Diameter(inches) O 2" 03" 04" 04.5" 06" O� <br /> `JC ILUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of Well 2- -1 Initial Water Level: PURGE METHOD: <br /> :_ Honda Pumo <br /> Total Volume Purged: Time Elapsed: ODisposable PolyTubing( _ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)( _) <br /> OOther <br /> x x = (gallons) <br /> Total Deoth Water Level Well Vol. Fac. #of vol.to Purge Calculated Purge Volume <br /> Subjective Analysis Prior to Purging PARAMETER EQUIPMENT CALIBRATION <br /> SHEEN Depth to Product Product Thickness <br /> OYes ONo {ft) (ft) pH Meter#: Time: <br /> Solution pH 7.00 at OF <br /> OMMENTS' Solution pH 4.00 at OF <br /> () W t- L — 1U0 Solution pH 10.00 at °F <br /> E0 C� Water Level Meter#: <br /> SAMPLING METHOD <br /> OPVC Disoosable Bailer Time Samoled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp Cond. Analysis No. Container preservatives <br /> Removed Time of pH (umhos/cm) Required of Type <br /> ! EPA 601 VOA's <br /> r <br /> TPH-G/BTEX VOA's HCl <br /> Amber <br /> TPH- Diesel Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Litef <br /> j <br /> e <br /> M <br /> r <br />