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GROUNDWATER SAMPLING FORM <br /> PF CJECT INFORMATICaN <br /> PROJECT NAME 4)1e, 6 Pe--ffTW% ,4-W-PROJECT NUMEER Z!;77 000I WELL fV0 <br /> PROJECT �IANAGER J44 TYPE OF: WELL __4,1 ManitonngEx?rac;tan CthGr <br /> RECORDED BY Af SAMPLED EY AfJ DATE 220 <br /> WELL PURGING INFORMA T ION <br /> PURGE VOLUME PURGE METHOO <br /> Well asing Diameter <br /> 2-inch 4-inc Other ✓ Sailer Type yt <br /> Pump - Type <br /> Well Tetal flepth i 2 feet treiow i op cf Casing,TI) other Specify <br /> Depth to Water q�i feet trelow Tao of Cas rsg,'NL Nydr rt cn Odors <br /> Water Column Length 1 0feet fes No <br /> i <br /> °urge Volume Calc,;lncn (Water Column Length x bluitip0er x No Volumes = Calculatea PLrge Volume) <br /> 7cO7 X ,r� 7 <br /> dr r 7 ��X = 7/ CalcJtated Purge Volume = �� ciallons <br /> I (WCL,) (Multcpli ) (No Volumes) Actual Purge Volume = l o gallons I <br /> V&,Alniler (Casir'A Diameter anwest = GallonsA mear foot] 2=01,7 4=Q66 6=1 5 8=2E <br /> Crcundwater Parameter Measurement .Meter TypCalibrated Yes_ N <br /> TIME JEzLAPSEO =LCWRA+E CTW OH <br /> I I I I EC TEMP REDOX CCMMEVTS <br /> TIME ( ) yT� mV� � I <br /> I� <br /> d F S1 <br /> A61I - 1Qqf r (v Za Z I I Nc� <br /> 0 ! 14 I I I 9,q1 I I44 <br /> 1 &16I - It 9r7getzwik, c <br /> I I 0 b r 7 I14,414d <br /> I ! I I I I ! <br /> ! I I I I I <br /> I I I i i <br /> ENVIRGNMWNlCAL hNdl MA7ZmALS PR0r5SSlGNALS <br />