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GROUNDWATER SAMPLING FORM <br /> FRgJE:T INFORjMA l 1ON.>:> <br /> .. . .: . .... . . <br /> FRCJEC T NAME: I ll +re �� PROJECT NUMEE:; t booj WEt l NO It'11hi'7 <br /> ' i I <br /> PROJECT MANAGER: �"C TYPE OF WELL 'L/ Manitorin <br /> 9 — E.�ctraC,ion Other <br /> RECORDED EY: !� SAMFI�J cY; CATS: <br /> Fs:1RGiNG :fNF.. EtlfttAT.ION <br /> FURL VOLUME PURGE ME HC0 <br /> Well ing Diameter <br /> 2�nan s-+nc't Other I <br /> • n �atler - Type <br /> Wel Total Cecth Z S)7feet below Top of Casing,TD —LG pump ' i ype C f nA.V�' <br /> J Other - Specify <br /> Cepth to Water `(�` r feet below Tap of Casing,WL Hydtccarton Odors- <br /> Water Column Lan gt ��� feet Yes _r':_No <br /> IPurge Volume Caa non (Water Column Length x Multiplier x Na.Vasumes = Casculatea Purge Volume) <br /> X x t3 = •kms 4 � i <br /> (WC.) (Muttictier Calculated Purge Volume = afcns <br /> )_ (No.Volumes) Ac..rai Purge Volume = t oalons <br /> Wift1blier=tCasir�Garretes~:fThc.esi =Galfarss�liiteaF ford» 2;=Q3*:f<::;s_ <br /> i <br /> j Groundwater Parameter Measurement: meter Type Cai brated:_Yes No <br /> i <br /> TIME ELAPSE? � F-CwRA—M <br /> I TIME ?� C(ft pH I an;;Crd= d z C ` I �X,U) P my X I C.^.MME�ITS <br /> C Mea r ti <br /> i I ,s l I k IPZ2. I t gip, I I• <br /> 4- <br /> 1:2h <br /> I e'7 f L4ql VK ti I II I I 1 <br /> I <br /> I i I I I � I I I • I <br /> I I I I i I I I <br /> I <br /> I I I I I I I I I I I <br /> I I i I <br /> I I i i I I I it <br /> I I I I I I i I <br /> I I I I I i I <br /> V=ASSOCIATIES INC. <br /> vivrRONIMENTAL,CECTECUN1CAL A140 MATERIAL:PROFfS=GNAL: <br />