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GROUNDWATER SAMPLING FORM <br /> PROJECT {NFORMATION I <br /> M <br /> � PROJECT NAME -Pe'r4vwt0KlCe.PROJECT NUMBER 546Z-5770co / WELL NO E l- <br /> PROJECT MANAGER -f TYPE OF WELL ✓ Monitonng F--drac;lon Other <br /> ' RECORDED BY SAMPLED EY AF DATE f ZZ2�1�7 <br /> I <br /> WELL PURGING INFORMATION � <br /> PURGE VOLUME PURGE METHOD <br /> 2CWell sing Ciameter <br /> -,nCh flinch Cther Bailer - Type <br /> Pump Type A if t~, <br /> Well Total Depth 65,1 feet below Top of Casing,T❑ Cther - Specify <br /> q <br /> Depth <br /> to Water feet below Tap of Casing,WL Hydrocartcn Coors <br /> I (o <br /> Water Column Length (07 feet Yes ZNO <br /> ' Purge Vciume Cafcjlaucn (Water Column Length x Multiplier x No Volumes = Caic.;lated Purge Vclume) <br /> IG 0 X a 17 9 <br /> X Z Calculated Purge Volume cailans <br /> (WCL) (Mutt,pl,er) (No Volumes) Actual Purge Vclume gallons <br /> Mtutioller (Casino nameter unchesl = Galtonvnear rcca Z 0 17 4=G-66 6-1 5 8=ZtL <br /> ' Groundwater Parameter Measurement Meter Type Lit. 31C0Calibrated Yes No <br /> TIME ELAPSED FLCWRATE OTW pH ECTc� URBICM RECOX CCMME`1TS <br /> TIME (GPM) (ft) annoslcm �de�C�' (NTLI) MVL)rA Q , 62 �2 4� / <br /> d !_ <br /> � 9001 0,75 ff K Q30 01 NPV I Ntsk -9 t <br /> I o 05-1 S 55, ID l l J1 0, 3_7 I s" s <br /> S7 0& /0.60 n 7a- �`5 K b y',` a v-- <br /> 0 1 5 g r-1 <br /> Q,7S I �� r 0 ,73 1 g err <br /> 1 S`o 1s ,$ 0,76 19,7 I I 0-.vv cdo I <br /> o f 0 5 s,401 , 0,7q 1 ,0 <br /> I I b0, 21 101 0l7 19 ` I <br /> I <br /> I I I I I <br /> I <br /> I I I <br /> 1 I � <br /> i i I <br /> ' 'VACASSOCIATES INC. <br /> EWRONMENML GEOTECHNICAL AND MATERIALS p1CFESMCNALS <br />