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B ch Technical services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street <br /> Santa Crux,Ca 95060 Well Number: / t Y <br /> (408)459.0718 <br /> Vroject Number: Sample Type: OGroundwater OTrip Blank ODuplicate of <br /> lation Number: <br /> Date: Sampled by: <br /> . WELL PiTRGING <br /> PURGE Casing Diameter (incites) . 02 n 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of well Initial Water Level: $ PURGE METHOD: <br /> Honda Pump <br /> Total Volume-Purged: Time Elapsed: sable PolyTubing(3 1, . ti) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(___j <br /> -} OOther <br /> - <br /> ILb — •t7L x 0 — Z -04 x 5 z !�(gallons) <br /> Total Depth Water (revel Well Vol. Fac. #of vol.to Purge Calculated Purge Volume <br /> COMMENTS: <br /> Subiective Analysis Prior to Purging <br /> SHEEN Depth to Product Product Thickness <br /> Oyes o (ft) (ft) <br /> SAMPLING METHOD <br /> jb0VC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: f S S Z— <br /> WELL SAMPLING PARAME][ERS <br /> Gallons Temp Cond. Analysis No. Container <br /> Removed Time pH OF (umhos/cm) Required of Type preservatives <br /> S /SSO 4 -Z 9 6 � . /% 2, 3 EPA 601 VOA's <br /> 7 ($ S I 4 - 7Z 6j, j It r 5 TPH-G/BTEX 3 VOA's HCl <br /> s TPH- Diesel Amber <br /> S2 6. 7 3 6q. o f t 2a Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />