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1 <br /> GROUNDWATER SAMPLING FORM <br /> FR0J1<OT INFORMA7t]ON <br /> 7- 0ther' PROJECT NAMEPROJECTNUMBER S y'�� ��` � WELL NO <br /> PROJECT MANAGER �y'A TYPE OF WELL '� Monitoring Extraction <br /> ' RECORDED 8Y A)-' SAMPLED EY �C �� DATE d 340 <br /> r WELL PLJRG�NG"[NFORMA T>)ON <br /> ' PURGE VOLUME PURGE METHOD <br /> Wasing Diameter <br /> ✓✓ Z-Inch 4-4nch Other - Bader - Type if <br /> i Well Til Depth � ��a feet below Tao of Casing,Ta Pump - Type <br /> ether - Specify <br /> Death to Water feet below Top of Casing,WL Hydrocarbon Odors <br /> Water Column Length-33,-7 1 feet Yes No <br /> Purge Volume Calculatton (Water Column Langur x Multiplier x No Volumes = Calculazed Purge Volume) <br /> f *7 7 X Q 17 X = 1 1 ?�L Calculated Purge Volume = allons <br /> (WCL) (Multiplier) (No Volumes) Actual Purge Volume = _ 6'-'i _gallons <br /> {vlGltlgiter�GCasltto zamatee f ulfes :wri al[ors litaear fay}, ?=)� 7. Fr fi Y 1 wqql�`[[`; n -fi n>t w <br /> Groundwater Parameter Measurement: Meter Type S� <br /> FLSaTB0ft I I �allhrated _No <br /> ME �ELAPSED Rx 3MME <br /> T ( M� mV , 1 e <br /> I I r I r - f,'�FZ "--, <br /> ide I 15 , <br /> ? � Ilii 1 I 1 - T 79 I -Y '22, 4 <br /> I y r� ► - I <br /> I I <br /> i I I 1 1 1 I <br /> � I <br /> � I I <br /> # I I <br /> i I I i i l l 1 <br /> I I I I I <br /> I I I I I I I <br /> I I I I I I I ! <br /> VAMASSOCIATE-5I .gV3OHMFYA6.O9DBCN n <br /> 1 <br />