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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 liberty Street <br /> Santa Cruz,Ca 95060 Well Number: <br /> (408)459-0718 <br /> r&oject Number:_ -13 4 -l)-U4? Sample Type: OG undwaterrip Blank ODuplicate of <br /> Station Number: E . CL/w- <br /> VVIE11-AL, <br /> Date: /0 / -S 1 S3 - Sampled by:PT TRGING <br /> PURGE Casing Diameter (inches) O 2" 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 /> O Honda Pump <br /> Total Volume Purged: Time Elapsed: ODisposable PolyTubing(^ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(__w) <br /> OOther <br /> x = x (gallons) <br /> Total Depth Water Level Well Vol. Fac. #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 /> TR i <br /> SAMPLING METHOD <br /> OPVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: <br /> WELL SAMPLING PARAMETERS <br /> Gallons H of (umhos/cm) Required of Type Temp Cond. Analysis No. Container Preservatives <br /> Removed Time p <br /> EPA 601 VOA's <br /> ITPH-G/BTEX VOA's HCl <br /> TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />