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y GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME1C,f WiS-( ro �t PROJECT NUMBER �1(, WELL NO hijU- <br /> PROJECT MANAGER N TYPE OF WELL Monttoning Extraction Other <br /> RECORDED BY AF SAMPLED BY ,A C^ DATE G <br /> WELL PURGING INFORMATION <br /> PURGLUME PURGE METHOD <br /> Well C g bcameter <br /> 2-inch 4-inch Other Bailer - Type <br /> 7 4,/_Pump - TyperC/"h�lcl� f <br /> Well Total Depth --3 I C� --- feet below Top of Casing TD Other - Specsfy <br /> Depth to Water feet below Top of Casing WL Hydroc rbon Odors <br /> �J <br /> Water Column Length � � L�'f' eet es No <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> I r r I �el <br /> -- <br /> L— X U Cs X -3 - Calculated Purge Volume gallons <br /> (WCL) (Multspher) L3 (No Volumes) Actual Purge Volume = , gallons <br /> Multmiter (Casino Dsameter Nchesl = Gallonsflinear foot 2=0 17 4=0-66 6=1 6 B=2' <br /> Groundwater Parameter Measurement Meter Type }Calibrated r—Yes No <br /> TIME ELAPSED FLOWRATE DTW pH EC TP C TURsiorrr REDOX COMMENTS <br /> TIME (GPM) (ft) anhoslcm e (NTU) mV <br /> air d F V{JL rer <br /> 1 y 5- —3r1 <br /> ��t fr cC- 7,06 o,v� .0 fi <br /> 1L� 6 7 '130 L" ,5 9 0r"6 `.Z -3 <br /> �7 <br /> i <br /> ASSOCIATES INC. <br /> ENVIRONMENTAL,GEOTECHNICAL AND MATERIALS PROFEssfONALS <br />