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BirchTechnical Services GROUNDWATER SAMPLING FORM <br /> f <br /> 116 Liberty Street <br /> Santa Cruz,Ca 95060 well Number: r Y� <br /> (408)459-0718 <br /> oject Number: 10 —_ 3 Sample Type: oundwater OTrip BI nk ODupiicate of_ <br /> Station Number: p 111 Z IB, <br /> Date: 3 / 11 / . Sampled by: <br /> �VEL.L PURGING 4 <br /> PURGE Casing Diameter (inches) O 2" 03" 4" 04.5" 06" O <br /> V0iARViE Volume Factors: 0.1632 0.3672 0.6 28 0.826 1.469 <br /> Total Deoth of Well q Initial Water Level: PURGE METHOD: <br /> O Honda Pump <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 Depth Water Level Well Vol. Fac. #of vol.to Purge Calculated Purge Volume <br /> Subiective Analysis Prior to Purging PARAMETER EQUIPMENT CALIBRATION <br /> SHEEN Det)th to Product Product Thickness <br /> OYes ONo (ft) (ft) pH Meter#: Time: <br /> Solution pH 7.40 at °F <br /> ..OMMENTS: Solution pH 4.44 at OF <br /> Solution pH 14.40 at OF <br /> v�L //v Water Level Meter#: <br /> A-M L CACI SAMPLING METHOD <br /> OPVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: <br /> WELL SAMPLING PARAMETERS <br /> Gallons H Time Temp Cond. Analysis No. Container Preservatives <br /> Removed F p (umhos/cm) Required of Type <br /> j ( EPA 641 VOA's <br /> TPH-GBTEX VOA's HCl <br /> ' TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF err H2SO4 <br />