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' GROUNDWATER SAMPLING FORM <br />' PROJEOT INFQRMA T EG6N <br /> PROJECT NAME FROJEC T NUMEER J4,, %, 'L!C I WELL. NG 10W5 <br />' PROJECT MANAGER T YFE of WELL Mcrlltonng Extraction (Other <br /> RECORCEO BY E SAMPLED BY -- �� _ DATE QCoaoA <br /> tWELL, PURGING INFORMATION <br /> PURGE VOLUME PURGE ME T HOO <br />' - Casing Diameter <br /> "�-v24+nch other Bis ler - Type Z) tSP0-%Q <br /> Well Total Depth 3 146 feet below Top of Casing,TO Pump - Type <br /> Other - Specify <br />' Depth to Water q feet below Top of Casing,WL Hydrocarbon odors <br /> Length AF Yes No <br /> Water Column Len � � feet <br />' Purge Volume Calculatten (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> 110-4- x of X 3 - O Caiculated Purge Volume atlons <br />' (WCL) (Multipiler) (No Volumes) Actual Purge Volume = —gallons <br /> F Wt her (Caafng.Diameter €Asj = i3l rtsslEliearfooF 2=9i.7 4,2tC- 6 6«1,5 a=Z+e <br /> Groundwater Parameter Measurement Meter Tvp 32 9C 1la prated _Yes_No <br /> TIME EL4PSEi7 FL.CWRA—= 07W pit EC P TLJR81DiFY RE❑Ox C:�MMENTS <br /> TIME (GPM) (ft) ushosdam d F � (�) mV A4 �t <br /> I2 )ID ©r1 fl2 vh <br /> 13 1 I --� -r IT t <br /> I <3I <br /> � I I <br /> t <br />' I <br />' SOCIATES INC. <br /> ENVIRONMENTAL,agOTECHNICAL MATERIALS FR0FE=0NAL3 <br />