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GROUNDWATER SAMPLING FORM <br /> - PC'cOJECT' <br /> INFO RMAI;ION: <br /> PROJECT NAME: o Qqx PROJECT NUMEER S���WE'L <br /> PROJECT MANAGER: TYFE OF WELL: Monitoring Extraction Other <br /> RECORDED EY: SAMPLED EY:_ Af DATE: <br /> :..._:...: . <br /> ;: WEL L:FU��cCtNG I:NFQR1�ilA�.T.ION.::.:.:. <br /> PURGE VOLUME PURGE METHOD <br /> W II ing Diameter <br /> 2 inch 4-4nch Other <br /> Bauer - Type ? <br /> Well Total Oecth ` feet below Tap of Casing,TD cGpump - TypeM-�' -�` <br /> Other - Specify <br /> Oepth to Water —7-1-7 ( feet below Tap of Casing,W� Hydrocarban Odors; <br /> � 3 . Yes <br /> Water Column Len feet <br /> Purge Volume Cal=ado, (Water Column Length x Multiplier x No.Volumes = Calculateo Purge Volume) <br /> 1�I3D X 0 t <br /> . 1 i X '3 _ 3 Calculated Purge Volume = / ailons <br /> (WCL) (Multiplier) (No.Volumes) Actual Purge Volume /J>V gallons <br /> <hStltflclier::tGasar�0iameter>fT cZest:-:Gallonsaitlear <br /> I <br /> Groundwater Parameter Measurement Meter Type S 1 3 SC`alibrated:`Yes No 1 <br /> 1ME E_AFSEO F�CWRA;E OTW pH EC TLlR61CITY RE]CX COMMENTS <br /> IME I (, i (it) I annoslrn t��- I (NTLI) mV t _ <br /> 7 ! 7 t 17/ 7t dec F QL/� <br /> ! ! 1/'f z_ 12 1 i I I ,its I ' — �► c 5[ ! <br /> C �I 3 I Lt I`7 1 ?r 12 i 1 c I I tcT111z� <br /> ['33 124' 1 C, <br /> iCKC?1 11, 1 ) <br /> TiWASSOCIATES INC. <br /> I <br /> I I I I I I i <br /> I I I I I I ! <br /> i I I I I I I I I <br /> emROmme irm_GFOTscnkCAL AMD MATERULS PROFS=OMAL <br />