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GROUNDWATER SAMPLING FORM <br /> P R OJ ECT.`:1 NF...C?RMATLON '.. .: <br /> Fsr,? ...... <br /> PROJECT NAME:G Lt 6y__?9-R• PROJECT NUMBER: S ,til ELL NO._-- k W 2- <br /> PROJECT <br /> PROJECT MANAGER:: —14 ,__TYPE OF WELL: ,/-Monitoring Extraction Other <br /> RECORDED BY: IF SAMPLED BY: F - DATE: Og lZq 7 <br /> ....... '....:...... WELL.:P.LlRGING.tNFaRMATtOR. <br /> PURGE VOLUME PURGE METHOD <br /> Wel! acing Diameter <br /> 24nch flinch Other filer - Type <br /> i—a—rImp - TypeIVI�A <br /> Wel[Tota!Depth ?-(a•q Z71eet below Tap of Casing,Tp Other - Specify <br /> Depth to Water %l Ln feet below Top of Casing,WL Hyd xarbon Odors: <br /> Water Column Length <br /> D1A feet ✓ Yes No <br /> Purge Volume Calculation (Water Column Length x Multiplier x No.Volumes = Calculated Purge Volume) <br /> y�I X X 'a (�= `1 Calculated Purge Volume = `. allons <br /> (WCL) (Multiplier) 0 (No,Volumes) Actual Purge Volume = O ! gallons <br /> Groundwater Parameter Measurement: Meter Type SS (3 Calibrated:y Yes_No <br /> TIME ELAPSED FLOWRATE DTW pH EC TEMP TURBIDrrY REDOX COMMENTS <br /> TIME (GP" (ft) unhoslom on-U) mV <br /> dog F &v, <br /> 3 $al '7c ADO x z 4 tet- <br /> 01R51 1 cz, G <br /> 1 3 1 7, Co 70 72--f <br /> c)4 zz. <br /> '=1 <br /> S91H <br />