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Birch.Technical Services GROUNDWATER SAMPLING FORM <br /> • 116 Liberty Street <br /> Santa Cruz, Ca 95060 <br /> Well Number <br /> (408)459-0718 <br /> Wect Number: 9 `� 3 7 Sample Type: OGroundwater OTrip Blank uplicate of <br /> Station Number: //lrI Z <br /> Date: �3 73 Sampled by: <br /> wELz... PURGING <br /> PURGE Casing Diameter (inches) 0 2" 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of Well Initial Water Level: PURGE ME'T'HOD: <br /> p O -Lcnda Pump <br /> Total Volume Purged: Time Elapsed: ODisposable PolyTubing(_ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)L_ <br /> O-OLher <br /> x x = (gallons) <br /> Total Depth 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 1� Time: {S 7 <br /> OYes ONo (ft) (ft) pH Meter#: <br /> Solution pH 7.00 7 at 7e OF <br /> WOMMENTS: Solution pH 4.00 at 2,1 OF <br /> Solution pH 10.00 /Z) at 7�_°F <br /> Water Level Ndeter#: Z? 33 2 <br /> SAMPL:NG METHOD <br /> XVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: Z 7 1 D _ <br /> WELL SAMPLING PARAMETERS <br /> Gallons Time Temp pH Cond. Analysis No. Container Preser-ratives <br /> Removed F (umhos/cm) Required of Type <br /> EPt, 601 V OA's <br /> TPH-G/BTEX VOA's HCl <br /> 'rPN- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />