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Am Field Log / Groundwater Sampling Form Date <br /> Client , - Well Name _y. -'', _ <br /> Project Name <br /> Well Type:6 Monitor Q Extraction ZI Other <br /> N�)nsultant � � � ��\ �'��� <br /> Proi. Manager Richard Ch= Sampler <br /> ::-:._::Jy:i•.. .. 1��\- Fw'>..44 -: v.r,}i �:\j',i '�:4' ;r{,'r�_ o:- �-L'' ':@": ,r'v- v.J..� . <br /> .;`:,'.r.'r-,t ros„ •.e •Y<.:''.,ti;,i��sJ�i:<::.-. �1t2'v•' ion;-:..:.£ry++;tom "f;,`3:��y',. •`.Lc�:. ..;+4i:, �;..?4?.:-:i':giy:..� o't.'; ='e< :'' _; t�,' <br /> •cy c.,,-.• tiYro.: -r ro d. r -- �.<:-�-..,-4 �'cyti•'3 '�; -.\:�_.' <br /> ,..,-..-r.:.:��.c4�'`.,S`„-::`'.�} rrb..:a�'c}.;ar:f�-.::r::<cyst;::••.:;.c-:�b'?3.�'�-h- :..�"�,gr'4i�i.. '�;s ate.#��•a... -.`" -K~,�`:' �'"4 '��'0.' '"£`'- t£S-` �p�-t�4�`� k� <br /> P=ge M&I10d P=ge Volae <br /> Bailer-Type Multiplier We 1 Casing Diameter Well Volume Purged <br /> Pump-Type 2 _ inch 3 volumes <br /> Other Well Casing 4 — inch 4 volumes <br /> I.D. (in.) Gal/Ft. other other <br /> += Total Well Depth 2.0 0.1632 <br /> Depth to Water 'bL_ 4.0 0.6527 Actual Values <br /> 6.0 1.4686 <br /> Water Column Length Purge Time Nol. t <br /> � X <br /> X X _ ;�S) No. Volumes A <br /> Water column length Multiplier No. Volumes CALCULATED- Purge Vol. <br /> Total Purge Time <br /> a. X 1 <br /> Purge Vol Purge Rate TOTAL PURGE TIME Purge Rate <br /> +r Total Purge Time# Volumes PURGE TIME/VOL. Actual Purge Vol. <br /> 1.: <br /> MOW <br /> v.: .-�.:.,-� �. „4L,`♦l'C_ h:} <br /> ..�..ci;q�;bi+r•..p- .;rx... y� � a '} 'ice , a`,-�, <br /> :.\�..b�v�'x'\'..kr ..xaJ:4A- �x£`O.'•,'S:•:r � +Q-� v.4�v.J t h.S rY. <br /> ..............:,.. ......:... J1r:._:._:J.:.:.:+..:....: .:w,i...,-.-.:-.,.:�;-:r:.::..:.. :,+:� ti.. as?c:6:�.-vx�.. ...:.��.�.keo1r.;:x„-.3�Sti4cE'S;er�;t; <br /> :.. :rid <br /> .�. Time Gallons FH Conductivity Temp. Turbidity Color / Odor <br /> Whos/an 5/deg C :1 deg F NIU <br /> Vol 1 a L <br /> Vol 2 �? <br /> Vol 3 1 <br /> Vol 4 <br /> Vol 5 <br /> Meter Type IQ Scientific �3e Water Storage / Disposal <br /> 2ur <br /> Drum-ed onsite <br /> Onsite Treatment System <br /> r <br /> Other <br /> CCNiN=S/purge: <br /> •{v-.p:.o.CP�':x...':. ,-.-_.... r4::`iii"r::„f. \L- `y}:x ,vyr.,_kOv'• vv,AAa:A.'a.;-: <br /> r� ...,:. -. ... .X .:,....-- -`--"-� -> rb. .a:5::>x•ir•�'r� £J't2R-...�-�.. r?:,..'`�EceM'ti fv fE.�?_,i.W-.4`.x4c'v.4[C£v�eeo,., <br /> .....:t::a?�; :m:�: t�£...?�`- x:z�::�-�..:;?;z�,a+:�':n?.nw'..4;.:��r :�:.•:?c�•a��.�� '...-r '��asnsa:�� k-. .�.. -: ^�-� ¢�..e> <br /> Nbthod <br /> Bailer-Type <br /> Pump-Type <br /> Other <br /> Time Sample ID Org Dup Split Blank Container Type Number of Preservative <br /> +r Containers <br /> c�JIf �i99>ttt�I 1 `� C. 4degrees C <br /> QTS/sampling: <br /> 1405 Kansas Ave. GeoAnalytical Laboratories, Inc. Phone: (209)572-0900 <br /> Modesto, CA 95351 Cert# 1157 Fax: : (209)572-0916 <br />