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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street <br /> Santa Cruz,Ca 95060 C — <br /> (408)459-0718 Well Number: <br /> Wect Number: &) _D 7 Sample Type: OGr ndwater Trig Blank ODuplicate of_ <br /> Station Number: Z <br /> Date: 3 1 lam_ Sampled by: l <br /> SELL PT.JRGING <br /> PURGE Casing Diameter (inches) O 2" 03" 04" 04.5" 06" O <br /> 1ULUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of Well Initial Water Level: PURGE METHOD: <br /> O Fonda Pump <br /> Total Volume Purged: Time Elapsed: ODisposable PolyTubing( _ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(___) <br /> 00ther <br /> = x = x = (gallons) <br /> Total Depth Water Level Well Vol. Fac. #of vol.to Purge Calculated Purge Volume <br /> Subjective Analysis Prior to Pur in 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 /> WOMMENTS: Solution pH 4.00 at OF <br /> Solution pH 10.00 at OF <br /> Water Level Meter#: <br /> SAMPLING ME'T'HOD <br /> OPVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOthe:: <br /> WELL SAMPLING PARAMETERS <br /> Gallons .Lime Temp pH Cond. Analysis No. Container preservatives <br /> Removed F (umhos/cm) Required of Type <br /> EPA. 601 1 VO.A,'s <br /> PH-G/BTEX i VOA'$ HC l <br /> TPH- Diesel i Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br /> i <br /> 1 <br />