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GROUNDWATER SAMPLING FORM <br /> . <br /> PROJECT .INFORMATION.:: : <br /> �PROJECT NAME: PROJECT NUMBER: 'V, `�5i�fWELL NO, <br /> PROJECT MANAGERA TYPE OF WELL: u.- Monitoring Extract' n Other <br /> RECORDED BY: <br /> SAMPLED BY: Arc— DATE: <br /> WEAL_PU.RGii'G. IN --0) ATtON._ <br /> PURGE VOLUME PURGE METHOD <br /> W II Ca log-LSiameter <br /> inch 4-Inch Other Sailer - Type <br /> C� Pump - Type <br /> Well Total Depth 6(��' feet below Top of Casing,TD Other - Specify <br /> Depth to Water � �feet below Top of Casing,WL Hydrocarbon <br /> Il ? feet Yes <br /> Water Column Length,� <br /> Purge Volume Calcuiation (Water Column Length x Multiplier x No.Volumes = Calculated Purge Volume) <br /> c <br /> // 7/ X oa7 X = Calculated Purge Volume = w allons <br /> (WCL) (Multiplier) (No.Volumes) Actual Purge Volume W allons <br /> N]UEti leer_`:'{CSi[i -Diam1"te� Irrchies <br /> Galloris'Ilioearfoot ..0.:fM', 4: 06fi .fi.. 1.; :,8: .fi:; i <br /> YS r i <br /> Groundwater Parameter Measurement Meter Type Calibrated: a!Yes�No <br /> TIME ELAPSED FLOWRATE DTW pH EC TURBIDITY REDOX COMMENTS <br /> TIME (GPM) (ft) c- e {NTU) mV <br /> de F a p <br /> �-- -��3 <br /> r � 7-0� <br /> -3 2 <br /> I <br /> 'TAW <br /> F <br /> I <br /> r <br /> I <br /> +I ASSOCIATES INC <br /> - ENVIRONMENTAL,GEOTECHNICAL AND MATERIALS PROFESSIONALS <br />