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PROJECT TI .0• O -fay PRO I NO 3 030, o <br /> LANDAU mac`` EVENT Qcrx�_rc_ SA!! 1jASSOCIATES <br /> ssr�MMPLs=rlo - 7 <br /> x, ndwater/Surface Water DATE COLLECTED � o- TIMe�:36-j <br /> pie Collection Form WEATHER rO< k. COLLECTOR plgiK <br /> TERLEVELIWELLIPURGEDATA o� <br /> Sampleth to Water(H) Groundwater�D•6� O 1118 Tlm� Surface <br /> Location <br /> 4 3�-6 Meas From: Other Top of Protective CasingSample Tap of Well Casing <br /> FiIINT <br /> t Casing Type CKPVC ra Stainless Steel Fiberglass CasingrWeti Diameter(",whole no) <br /> Well Condition Secure&or NO) Damaged(YES 00 Describe <br /> t <br /> ple Location. M .O <br /> In Purge DatmMme_R 1,f f/i c-s L"' lc f Casing Volume(gal) VOLUME OF SCHEDULE 40 PVC PIPE <br /> d Purge DaWnme �Y t�l% tit:"' Purge Volume(gal) A Diameter on I D Volume Wt.Water <br /> nch nch akin R IbsAn ft <br /> 1 Depth of Well (fL below top of well casing) .3 a 1.35 1 880 1 380 oda 064 <br /> ?8'- <br /> � / 2 2.375 2087 017 1 45 <br /> Purge Volume Calculation p g-33-�.6 4 = .674(7%3-0k S 3 •40 4 4 500 4 026 066 5 51 <br /> a 147 12 24 <br /> irge Water Disposal for 11lh���"''''55-gal drum QStorsge Tank Q Ground UOther Gal Purged /C <br /> Vol Purged Gond. /h��� Turbkf ty DO Temp. Other <br /> gal) pH (uSlcm) (NTLI (mgIL ('FPC) CommentstObservatlons <br /> U•�5it 9 ro7� �r��+ ti5L <br /> PLE COLLECTION DATA <br /> Sample Collected WWith ^^^^^^ 5KAJoonoxU Bailer PumpJTypa '� lei 5 "z- <br /> _ <br /> ralnless Sa PVC Teflon Q Pa Other Dedicated <br /> rocedure ((( Wash Tap Rinse DIWatar� Dedicated Other <br /> ple Description(color,t.rrh!Slty,odor,ahem,etc.) ^ <br /> f ` <br /> Replkaite H Con �e T� ty Of" Temp P I' �) <br /> Oftr <br /> I <br /> 7 <br /> AIIA- <br /> 2 ro,,r t u`-7 J_ � qi7 <br /> Q2 o <br /> 4 _ �� #DNI01 k U-7 17 #DNlO! f1DNl01 #DN101 #DN101 #DNlOI <br /> IpH Meter Cond Meter Cond Range Calibration Date <br /> ter Calibration Check pH7 Buffer Reads at-°C after sample collection. <br /> UANMW ITYPICAL ANALYSIS ALLOWED PER BOTTLE TYPE Circle appilcable or write non-starMard analysis betM <br /> 8280 80108020 NWTPH-G NWTPL- WA ❑ OR ❑ <br /> 8270 AH NW pH-D NWTPfi-Dx "CID 8081 141 Oil&Grease WA ❑ OR ❑ <br /> H Conduetivi D3 SS BOD urbLd Alkalin CO3/CO3 CI D2 NO3 NO2 <br /> COD OC (Total PO4 (Total l(ledehl N en) (NH3 NO31NO2 <br /> ata! r11de AD nlde <br /> alaI Metals Sb (Be) Be Ca (CO) Coj (Cr) (Cull ffel(Pb) Mn N Ss H Na <br /> F:�(Dissolved Metals As Sb (Be) Be Ca Cd (Co) C Cu Fs (Pb) M Mn N Se n Na Haninesa 5111ca <br /> 'others <br /> Duplicate Sample No(s) <br /> 5 Date <br /> 611112004 9ASHAREDOCWOOMarket%TMandau LogaoXGWSWFORM GW SW FORM 1$-02 Landau Assoclates <br />