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UW V tIA oM Clr r <br /> r Project Name: Ilk 5V3P ti .?Z Project Number.� _ &Q i Address: Date: &,2S-o( <br /> r, o Well Lock Number <br /> Well Number Well Integrity: <br /> Development/Purge/Sampler(s): Ambient Conditions: v U <br /> F <br /> -Purge DO (mg/L) <br /> Screened at WELL VOLUME CALCULATION <br /> well QWng TOW Walt Depth to Linear Feet Gallons Par <br /> —r q r fln.f Death(ft.) Qaundwater(GW 9f GW Unear Fgot 1 Wellyolums(gam <br /> 0.17 <br /> �,� • j . ` a <br /> 3 !�.�� _ kQ ,Q !/ �, l X 0.38 Z <br /> 4 - X 0.66 = <br /> 4.5 - X 0.83 a <br /> 8 a X 1,5 0 • <br /> GROUNDWATER SURFACE INSPECTION BAILER CHECK) <br /> Floating Product (ft) (n.): Sheen/Iddescence: N6 Odor. � <br /> GROUNDWATER PURGING PURGE METHOD <br /> 0 Stainless Steel Bailer, Submersible Pump;4Air Diaphragm Pump: 0 Honda Pump;0 Other <br /> `I Stagnant Volume <br /> Volumes Purged Conductivity Temp. ColorlTurbidity. <br /> Purged (gal.) Time pH (ps/umbos) (0C) (other) <br /> 0 0 _ �f 7�Zo '235 2 �G CL <br /> Recovery <br /> 2 Rate: <br /> a <br /> a �( _ 1 5 -,,;�_ )2!b �S,e Medium <br /> Slow <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> GROUNDWATER SAMPLING Sampling Equipment: <br /> Water Leve! Recove Sample Containers <br /> De th to GW(ft.} No. Preservation Method/pH <br /> (1) Initially 1 liter(L), amber glass <br /> (P) After Purging il.,50 40 ml VOA l'• � Z <br /> P - 0.8 (P-1) = 80% Recovery 500 ml polypropylene <br /> ,.(S) Before Sampling 10.0Z Trip Blank <br /> (P-S)I(P-1) X 100 160 % Tota! Recovery <br /> Sample DateMme: "15--a� JiSIb Turbidity (NTU): S- <br /> Calibrate Date/Time: — 5'—.o i/061IS6 EH (,KIEV): (�PURGED WATER CONTAINMENT <br /> Total drums at site: Water soil . Water pump through treatment system <br /> Remarks: <br /> N'.EN%*:.RCN'G'x'S+ PW%g.Ru4::do: <br /> i <br />