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Birch Technical Services G r ROUND-W TER SAMPLING FORM <br /> 116 Liberty Street :5AV <br /> M L <br /> Santa Cruz, Ca 95060 Number: C r <br /> (408) 459-0718 <br /> 4003ect Number: �Sp M PL F r• �a { -WeI4 Type: OMonitor OExtractionA—P-W—/ —Clot <br /> Station Number: <br /> Date: <br /> it? <br /> IZ Sampled by: - fC_ .4R C <br /> wEL,L. Pu�GilvG • <br /> PURGE Casing Diameter(inches) 0 2" 03" 04" 04.5" 06" 0 <br /> VOLUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of Well (BOW) Initial Water Level: PURGE METHOD: <br /> O Honda Pump <br /> Total Volume Purged: Time Elapsed: ODisposable PolyTubing(—ft) <br /> ODisposable PVC Bailer(s)(� <br /> OOther <br /> Calculated Purge Volume: <br /> _ 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 of Product Emulsion H Meter#: <br /> OYes ONo (ft) OYes ONa p �� z Time: <br /> Solution pH 4.00 °wt at- -7 1 °C <br /> ®MMENTS' Solution pH 10.00 L! at-2L—°C <br /> ci vtp 1064 k Solution pH 7.00 Z - at--Zt—°C <br /> I ! a Water Level Meter#: 103-7 <br /> PWA O 0 W C �/y SAMPLING METHOD <br /> CI <br /> OPVC Disposable Bailer Time Sampled <br /> dpi :5,q ek P tE' c OTeflon Bailer (24 h;},�O <br /> OOther: — <br /> WELL SAMPLING PARAMETERS <br /> Gallons .Lime Temp pH Cond. Analysis No. Conte preservatives <br /> Removed C (umhos/cm) Required of Type <br /> EPA 601 VOA's <br /> TPH-G/BTEX 31 VOA's HCl <br /> TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2NO3 <br /> Liter <br />