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GROUNDWATER SAMPLING FORM <br /> PPOJECT: fNFORIvfATiON <br /> -------------------------- <br /> FROJECT NAME: a-ef4v PROJECT NUMBER: i ,/T$�,/,OG^(�f WELL NG. MbLr3 <br /> i <br /> i PROJECT MANAGER: J4 TYPE OF WELL. Y"'_ Monitoring <br /> Extraction Other <br /> I RECORDED BY: SAMPLED BY: AF DATE: O&CISOZ I <br /> WELL:PURGING.' LNFO:R1FdA:T.aOlrk>`:a::: <br /> PURGE VOLUME PURGE ME Tr;OD <br /> Well ing Diameter i <br /> 2 inc t 4-inch Other <br /> --­Sailer - Type <br /> Well Total Ceptti c27 r d feet below Top of Casing,TO Pump - TYpel�Q./'Jf <br /> Other - Specify J _ <br /> Depth to Water feet below Top of Casing,WL Hydrecart:on Odorss <br /> `Nater Catumn Lengttl tri Kfeet Yes --&I"No <br /> I <br /> Purge Volume Calcutaron (Water Column Length x Multiptier x No.Volumes = Calculateo Purge Volume) <br /> X X Calculated Purge Volume = 9. �� Ions <br /> (WCL) (Multiplier)Q (No.Volumes) Aca:al Purge Volume = ( ��oa Ions <br /> I. I <br /> :;><RAtitlbtier>:f Gasirs¢Ciameter:fThc.Zesi`-=z Gal <br /> Groundwater Parameter Measurement Meter Type :5 33!2 Catibeated:_Yes No ! <br /> T iME E�PSc� �CWRA;c I pTW pH EC TURBtCrrY REDOX COMMENTS i <br /> I TIME (G1 ` (ft) I anhoslcn deg (N, -0 mV <br /> '7, <br /> 1Q I ! I C t?t . I . 71, <br /> 18 IS( 1 1 1 1 q3 LU, I I IQ <br /> 4 I 1 / ,I ; 1'7, I 1;i,5-.p1 <br /> o fol I �� I alb! <br /> 1 I I I I I I <br /> I <br /> i I I I I I I I I <br /> I <br /> I I I I I ! <br /> 1 <br /> 1 I I I I I I I <br /> I I I I I I I I ! <br /> I I I f I I I I I i <br /> 'T=ASSO CIA T ES INC. <br /> zwitoHMEKrAL,arcricmm"Llwo MAT66L+PROFE=cHN z" <br />