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1U/dl '00 MON 16 41 FAX 19259469968 ERNnST WC (1011 <br /> C TE_L[.Yc�lcr D V C QR Date- <br /> .__ =7�- Z of rj <br /> .+.F . w�,.,-,».lam' <br /> ��__ up tome- IWS— <br /> Set <br /> 10�14W 01 DWeather���r 5"-tot <br /> rNLI ;�� V 99 OiQ� Samplem t�&" bf j <br /> WELL # MVV 2A <br /> ,l•IISfORiC CONCENTRATIONS <br /> Location Construction Depth I0 5 ft. bgs <br /> Constructmn.6 ulchh pvc/ Measured Depth 7. Sna ' <br /> Groundwater Zane Purge Method,Disposable Bader <br /> Screened Interval.3 5-10 5 ft.bgs pump Intake <br /> El <br /> Method Dcsposable Bailer Depth to Water: f • <br /> i <br /> Preservation Method Ice Hewht of Water Column: �•Q- q <br /> Volume of One Ca!!!E Le <br /> Purge Start Date^ �-Z�_qT <br /> Purge 5tUt Time- I Egm calculate <br /> ons <br /> Drscharge Rate. A1,19 ._ft x 15 gals./ft x 3 <br /> Purge End Tune: 1,5_,of 16 gallons <br /> Time Gallons Temp.Q pH BC cm Wa <br /> �+4� ter clarity <br /> 17R,-5 .sx p oEff s <br /> 5!0 ' aO - 5�o too �c <br /> ANALYSES 1IEQUIRED SAMPLE TIME CONTAINER FII.TRATIOIV? <br /> TpKg/M-EX /S/S" 4 x 4o ml VOA HCI. <br /> TPHd z x 1 Liter Amber Gtass <br /> Fuel Oxygenates 3 x 40 ml VOA HCL <br /> FIELD OBSERVATIONS(Weil cont=4 repaus needed) <br /> i{f <br /> i <br /> IaID <br /> reading when w+eH cap opened-,v/} Disposal method of age water Drummed on site. <br /> 1 Dissolved Oxygen madmg N 4 Decoutauunation prmedure Alconox/DI Rinse <br /> Redox Measurement A(*- <br />• Other notes 1 <br /> Sampler Signature(s): ' / �I r% <br /> G � b / <br />