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GROUNDWATER SAMPLING FORM <br /> �'>PROJECT li`JFORMATION.. , <br /> PROJECT NAME: [�::�'f �{r� 1 PROJECT NUMBER: 1� ,1F,u�� WELL NO. I�'�vJ <br /> PROJECT MANAGER: TYPE OF WELL: Monitorin <br /> �� 9 Extraction Other <br /> RECORDED BY: SAMPLED BY: <br /> I DATE: �i cl <br /> WELL-- INFORMATION:< <br /> PURGE VOLUME PURGE METHOD <br /> j... Weil C ing Diameter <br /> inch flinch Other ailer - Type <br /> Pump Type C 4,44' ' v'�o I <br /> Well Total Depth s C) feet below Top of Casing,TO Other - Specify <br /> Depth to Water r<� feet below Top of Casing,WL Hydrocarbon Odors: <br /> Water Column Length 17S0 feet Yes No <br /> >1 Purge Volume Calculation (Water Column Length x Multiplier x No.Volumes = Calculated Purge Volume) <br /> -1 <br /> 7, C X 0, 1-7c, X _ - Calculated Purge Volume = I / oallons <br /> (WCL) (Multiplier) 0 (No-ValLmes) Actual Purge VolumeGallons <br /> ;::;MuttiDlierCasi :_-Diarnetet.i�rrnches -_Gallonsllihear:foots 2=?0.1"[, ' <br /> Groundwater Parameter Measurement: Meter Type lRQ Calibrated:_""Yes_No <br /> TIME ELAPSED FLOWRATE DTW pH EC TURBIDITY REDOX COMMENTS <br /> TIME (Gp" (ft) tmhoslcm (NTU) mV <br /> deg F La <br /> 10gC) -c..�n.t'k 5d'41 <br /> 56) 73 lee-0 <br /> tCh <br /> JP <br /> - o Inca zc, t <br /> J <br /> �y. L -+ 0 7r'2 010 7 1 <br /> h4t Zi Q' <br /> 1ACASSOCIATES <br /> INC. <br /> EWRONMENrAL,GEOTECHNICAL AND MATERIALS PROFOMONALS <br />