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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street <br /> Santa Cruz,Ca 95060 Well Number: J <br /> (408)459-0718 / <br /> jest Number:/h-13�-ol-y�Z Sample Type: OGroundwater ri Blank Duplicate of <br /> Cation Number: ,aft//r 5 3 <br /> Date: /a / 5 / 3 _ Sampled by: <br /> WELL PT JRGING <br /> PURGE Casing Diameter (inches) O 2" 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1632 0.3672 4.6528 0.826 1.469 <br /> Total Depth of Well Initial Water Level: PURGE METHOD: <br /> O Honda Pump <br /> Total Volume Purged: Time Elapsed: ODisposable PolyTubing( _ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(_—) <br /> OOther <br /> X _ x _ (gallons) <br /> Total Depth Water Level Well Vol. frac. #of vol.to Purge Calculated Purge Volume <br /> COMMENTS: <br /> Subjective Analysis Prior to Purging <br /> SHEEN Depth to Product Product Thickness <br /> OYes ONo (ft) (ft) <br /> SAMPLING METHOD <br /> VC Disposable Bailer Time Sampled <br /> O eflon Bailer (24 ho rr clock) <br /> 00ther: <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp Cond. i Analysis No. Container <br /> Removed Time pH of (umhos/cm) Required of Type Preservatives <br /> EPA 601 VOA's <br /> TPH-G/BTEX VOA's HCl <br /> TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />