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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION � <br /> JECT NAME.f�l�� � �'�t>rral��aFROJECT NUMBER �� 5 aCc') WELL NO �Iv� <br /> tRRECCORDEO <br /> ROJECT MANAGER 1#'� _TYPE OF WELLMonitoring Extraction Other <br /> 3Y �+t� SAMPLED 8Y ©ATE <br /> WELL. PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Wv6asing Diameter <br /> V 2-inch _4-inch Other Bader - Type Te <br /> Well Total Depth feet below To of Casing,TO Pump - Type <br /> P � P 9 Other - Specify <br /> Depth to Water 3 feet below Top of Casing,WL Hydroon Odors <br /> Water Column Length fest Yes No <br /> Purge Volume Calcutattcn (Water Column Length x Muttlptier x No Volumes = Calculated Purge Volume) r <br /> X Q X = 1 Calculated Purge Volume = oallons <br /> (WCL) (Multiplier) (No Volumes) Actual Purge Volume _. (? _0 gallons <br /> 'Multioller (Casfna Dlawk4ar gnahest r GallnWieisar foot Z-Q t7 44-06 5+-'1 6. 6=le x <br /> Groundwater Parameter Measurement Meter Type�Calibrated Yes No <br /> TIME ELAPSED FLCWRATE DTW pH EC TEMP TURBIDITY REDOX COMMENTS <br /> 71ME (GPM) (ft) anhoslcm e al (fru) mV <br /> 1 06 s) Iv if dear <br /> -- <br /> /I � r <br /> ' + 5, 0 ice' f (� �r <br /> CI TES INC. <br /> &%W.NAL.=77130FINICAL R MATERIALS PRof l-VONALS <br /> .r. <br />