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, Blrch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty street <br /> Santa Cruz,Ca 95060 Well Number: <br /> (408)459-0718 <br /> *.j.eNumber: `� T�p2 Sample Type: Groundwater OT <br /> ct <br /> on Number: / ri Blank ODuplicate of <br /> Date: /V /,,S I `' Sampled by: Z// <br /> WELL PURGING <br /> PURGE Casing Diameter (inches) 03" 04" 04.5" 06" O <br /> VOLUME <br /> Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of Well Initial Water Level: PURGE METHOD: <br /> onda Pump <br /> Total Volume Purged: 7ad Time Elapsed: A4111 -Mmposable PolyTubing(3--q—ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)C___) <br /> ! �./� I OOther <br /> x r[ G = z Z7' x _ 4,6 /�7 <br /> (gallons) <br /> Total Depth Water Level Well Vol. Fac. #of vol.to Purge Calculated Purge Volume <br /> COMMENTS: <br /> Sublective Analysis Prior to Purging <br /> SHEEN De uct Pro ct Thickness <br /> OYes3lo p to Prod (ft) (ft) <br /> SAMPLING METHOD <br /> ,�VC Disposable Bailer Time Sampled <br /> OTee on Bailer (24 hour clock) <br /> 00ther: Z 1 d 9 <br /> WELL SAMPLING PARAMETERS <br /> Gallons Time Temp pH Cond. Analysis No. Container preservatives <br /> Removed F (umhos/cm) Required of Type <br /> Z Z 05 66 ( l 6 `M s-117 EPA 601 VOA's <br /> s 21 O 7 6 6, 5 6 , 9 5',// TPH-G/BTEX VOA's HCl <br /> 7 66� Jr 6 `� 7 TPH- Diesel Amber <br /> �f(� S /(� Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />