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GROUNDWATER SAMPLING FORM <br /> PROJEC71NFORMA71 ON <br /> PFcOJ> T NAME �.-- PROJECT NUMBER 5 �2� 3. WELL NO _ M <br /> I <br /> PROJECT MANAGER„,-___j —NPE of WELL Manitortrlg Extraction other <br /> REr-GRL�EO 5Y SAMPLED BY N S CATE <br /> .. <br /> WELL PURGING [NF0RUAT1l0N <br /> PURGE VOLUME PURGE ME i HOO <br /> Well Caprg plameter <br /> -inch finch Cther bder - Type <br /> c/Dump - Type 4,r r <br /> Well Total deuth r feet below Tan of Casing,TO Other - Scecay <br /> toes!to Water `Meet below Tap of Cascng,WL Hydrocarbon Cdars <br /> Yes Na <br /> Water Column Length ��{ feet <br /> Purge Volume Calculation (Water Catumn Length x / tCMultiplier x No Volumes <br /> r= Calculated Purge Volume) <br /> r '?� X a. [ X t(� — 1 f Calculated Purge Volume <br /> t CL) (Mutbpiler) (No Volumes) Actual Purge Volume = allons <br /> t&ftldier tCasi oiameter sties€ �' a€[cnsffrGsea>tfoar 2 EI1fT' =#Ja5H< =1 =. E=;fie H <br /> Groundwater Parameter Measurement: Mese Type 1 '55W Caubrated Yes_No <br /> T IME F}PSc� FLOWRA� pTW pH EC i P I TUR(`e I r�E�OX I COMMENTS <br /> T€ME <br /> (GPM) (�) m,nos,csn dear Imf <br /> I R, ca I fJAr I 5 <br /> fLn 3I Z C io W <br /> I �nou�► 5 <br /> r i 4f F� ! ai = I <br /> Z fro �°+ 1 Gr JI n [ 1G" C' J 20. 1 I � <br /> I I I I I I I <br /> I i I I I I I I <br /> I I <br /> I i I I <br /> I I i I I I I i <br /> i I I I I <br /> I � <br /> I I I <br /> I ) I I I I I <br /> Vv5A=,ASS<)C1A7E5 <br /> E WRPHMEHTAL,c:50TS'CHM AL LS P� INC. <br />