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1 LL <br /> GROUNDWATER SAMPLING FORM , <br /> r.ROJE T: INFORMATION:: <br /> <: I <br /> PRCJEC T NAME. LA 1 40( FRCJEC T NUMEER:5L/r 17W i Cap ► WELL NO.— /0 VJ <br /> l <br /> PRCJEC T MANAGER: TYPE OF WELL. monitoring E\-traction <br /> _,Other <br /> RECORDED EY: SAMPLED BY: DATE: <br /> WEL::EUFcGING<::(NFe:R1fAA>TaON <br /> PURGE VOLUME PURGE METi-ipD <br /> Well ing Diameter <br /> 2-inch 4-4nch Other Bailer - Type . y <br /> Well Totai Depth feet below Tap of Casing,TD Pump ' Type <br /> Other - Specify <br /> Depth to Water ` (0 feet below Tap of Casing,Wt <br /> Hydrocarbon Odors; <br /> Water Column Length Z. feet Yes Nc <br /> Purge Volum <br /> r�2 e Calculation (Water*Catumn Length x Multiplier x No.Volumes = Calculatea Purge Votume) <br /> 2c,2,2- X 0t I ''f X -3 _ <br /> CL Calculated Purge Volume = � 8�3� allons <br /> (WCL) (Multiplier) (No.Volumes) Actual Purge Volume = gallons <br /> mu21cIier>f.Casiha,.Diameter-..-. ctes€<='GalfanstliiseaFfOos ><: :i- :.. .::..:: •.- <br /> I <br /> Groundwater Parameter Measurement Meter Typ alibrated:_Yes_No <br /> TIME �EIAPE2D -LCWRArE ❑TW pH EC TUReicrrr REDOX CCMMENtTS <br /> MME (G S C (ft) C cnhcrj= d�c (N TU) mV <br /> I I q I t I zz. I NSI <br /> I -?t-?tCS7 ICn Z o I I I e <br /> 1 I I I 12� I I I k " <br /> a I I t l I r I'' I 1 z.2 <br /> tel S �_ [ r I 1, 55122, I 1 I _ <br /> I I I I I I I I I <br /> I <br /> I I I i <br /> I I I I i I I i <br /> I I I I I I I <br /> I <br /> I I I I I I I <br /> I I I I <br /> i <br /> i I I I I <br /> \TAWASSOCIA1 cS INC. <br /> ENVIRONMENTAL.GEOTECHNI"L. tND MATERIALS PROPESSONALS <br />