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PROJECT Ti 6 .®P, a`{'t^i PROJ NO 2:3(030.010 <br /> 1 ANDAU r� ' � EVENT 3 &Lac <br /> ASSOCIATES <br /> n <br /> undwater/Surface Water E COLLECTED t �3 TIME d7� <br /> P3® Collection Form WEATHER eo%- COLLECTOR N&A� <br /> TER LEVELNIfELLlPUR E DATA <br /> Sample Locatio <br /> Sample Type pth to Water(ft} Gro7' g�� ,r�IQ' me Su 3tre Water Meas.From Other Top of Protective Casingn ' Top of Well Casing <br /> rail Casing Type PVC Stainless Steel Fiberglass Casingl'Well Diameter(*.whale no) �-- <br /> Well Condition Secure r NO) Damaged(YES oQ Describe <br /> Imple Location M / �0 <br /> gin Purge DataMme I� '� t i Caning Volume(gain"PvOLUtV!!»OF SCHEDULE 40-PVC'PIPE <br /> d Purge DateMme $ Purge Volume(gal) Am Diameter OD I D Volume WL Water <br /> tel Depth of Well <br /> (ft.below top of well casing) 7��a 125 1 0 1 3 008M, <br /> 08ft i Eft <br /> d� p 2 2375 2067 017 145 <br /> Purge Volume Calculation /7 40-8 ,1_=It rf'xQ (7 3 4 4 500 4 028 066 551 <br /> 6 1 47 1224 <br /> Irge Water Disposal to IXC 55-gal drum Storage Tank Ground UO#W Gal.Purged <br /> Vol Purged Cond. Lam' TurbkiBy DO Temp. Other <br /> (gal) pH (u51 ) (NTU) (n+ ) ('Frc / Comment0observation <br /> t9•�f 7 � 7K otJ A <br /> 111, 1 L <br /> PLJE:COLLECTION DATA <br /> Sample Collected With Batter Q PUMPIType <br /> U Stainless Steel Q PVC Teflon Q Polyetirylene or <br /> Dedicated <br /> Procedure a Abz=Wash '' Tap Rinse DI Water Dedicated Other <br /> mple Description(color.turbidity,odor,sheen,Mr.) - <br /> i <br /> Repute ►H , `r WS) Turb Dias en Temp(*F7) Othe;� <br /> 2 i e� r- <br /> 3' <br /> F v <br /> 4 ,� #DIV101 _ 11th' #Drvrol #Drvrol v #DIVrot #DIVmI #01V/01 <br /> tr <br /> Meter Cond Meter Cond Renge Calibration Data <br /> aAbraikm Check pH7 Buffer Reads at °C after sample oollectibm <br /> UANTITY ITYPICAL ANALYSIS ALLOWED PER BOTTLE TYPE Circle applicable or write non-standard anallyals below <br /> 8290 8010 020 8NWTPH-G W <br /> NTPH-Gx T WA C� OR C1 <br /> 8270 PAH NWTPH-D NWTPH-Dx CID 8081 8141 Oil&Grease WA ❑ OR ❑ <br /> Gond $ SS OD (Turbidity) Alkeiin COSICO3) (C SO2 (NO3) 1402 F <br /> COD O (Total PO4 (Total IQedahl Nitrogen) NH3 NO31NO2 <br /> ata! nide AD qMnfde <br /> j(-Total Metals As b a e Ca Cd Co Cu Fe Pb Mn N Se Ne <br /> Dissolved Metals Aa b a)(Bel Ca Cd Co C Cu Fe b M Mn (NQ Se H Na Hardness Silica <br /> others 8-,C:t Sri r1 <br /> Duplicate Sample No(a). <br /> mments. <br /> I <br /> 8/1112004 SASHAREDOC4000markat%TRLandau LagostGWSWFORM GW SW FORM i4-02 Landau Associates <br />