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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME„YA =mer' TQOR c�')IPROJECT NUMBER 922 31 WELL NO C&ta&W XOE.L . <br /> PROJECT MANAGER DN/ TYPE OF WELL Monitoring Extraction Other <br /> ' RECORDED BY -Ae SAMPLED BY A_P: DATE 07 03"17 <br /> WELL PURGING INFORMATION <br /> ' PURGE VOLUME PURGE METHOD <br /> Well Ksing Diameter <br /> 2-Inch flinch Other •f Bader - Type-!✓r'LofJ <br /> Well Total Depth `�2 feet below Top of Casing,TD Pump - Type <br /> 1 Other - Specify <br /> Depth to Water ZS LVO feet below Top of Casing,WL Hydrocarbon Odo <br /> No <br /> Water Column Length{,�Gfeet Yes <br /> ' Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> X X ' _ 10 Calculated Purge Volume = ( allons <br /> (WCL) (MuMpher) J (No Volumes) Actual Purge Volume = �9allons <br /> Multiplier (Casing Diameter (Inchesl= GallonsAinear foot 2=017 4=0 66 6=1 5 8=2 6 <br /> Groundwater Parameter Measurement: Meter Type IS00 Calibrated 1ZYe1 No <br /> ' TIME ELAPSED FLOWRATE DTW pH EC jfaZ TURBIDITY REDOX COMMENTS <br /> TIME (GPM) (R) enhos►cm deg C (14TU) mV C <br /> tit <br /> oq/fa <br /> - 7. 2 <br /> 4'2 3 1 rr 74t? -z rt ` <br /> �. . �o <br /> it <br /> 1 � <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br /> SIH <br />