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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME far Y %tf 1'repex PROJECT NUMBER 095CJ WELL NO Ai W - 2- <br /> PROJECT <br /> PROJECT MANAGER DVA, TYPE OF WELL Monitonng Extraction Other <br /> RECORDED BY A SAMPLED BY A F DATE C7Q <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well sing Diameter <br /> ► 2-inch flinch Other ailer - Type <br /> Pump - Type <br /> Weil Total Depth 14S, t I teet below Top of Casing,TO Other - Specify <br /> Oeoth to Water '2 It KG feet below Top of Casing,WL <br /> Hydrocarbon Odors/ <br /> 2 <br /> Water Gofumn Length 3.� feet <br /> Yesy Na <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> 23,713 x 0, r x 3 �2 . to <br /> Calculated Purge Volume = ailans <br /> (WCL) (MuMplier) (No Volumes) Actual Purge Volume gallons <br /> MuttipUer (Cas4n2 Diameter[Inchesj = GallonsAfinear foots 2=017 4=a66 6=15 8=26 <br /> Groundwater Parameter Measurement Meter Type�_Calibrated ✓Yes_No <br /> TIME ELAPSED FLCwRATE DTVV pH EC TEMp TURBIDITY REDOX COMMENTS <br /> TIME anhoslom (NTU) mV <br /> deg F <br /> 1t 03 D3.00 -7,15- ©r5 .J 8 <br /> -23,71 7, 2 0/ a.2- <br /> - <br /> 1 P-3,'3 Of 5$ D-2.0 0=%x v � <br /> f <br /> E <br /> t §SOCIATE INC. <br /> EWRON6,WOEOTECHNICALAND MATERIALS PROFESSIONALS <br />