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' Page _ 2 of ` <br />' GROUND WATER SAMPLE COLLECTION LOG <br /> Project Name -116, Tvwc r+a Dcj�iE pAD moi✓ Sample Location or - <br /> Project No _Ic►.�ts ?jY�°1 Well iD (attach map it necessary) <br /> 4-7 <br /> Request-for-Analysis Control No Date and Time Collected <br /> Cham-of-Custody Control No Sample Collected by <br />' Sample No Checked by(Office)/Date _ �✓ <br /> EQUIPMENT <br />' Purging Method/Equipment . <br /> Sampling EqulpmenVID No - <br />' 6 ' Diameter - 1 5 gal/ft 4' Diameter - 0 67 gal/ft 2" Diameter " 0 17 gal/ft <br />' PURGING INFORMATION <br /> Casing ID (a) (in ) V Unit Casing Volume(b) <br /> Depth to Well Sottom (c) •ti3 Tl- ( ) ���fto Water(d) o�rl�•• o 4 t { ) <br /> Length of Static Water Column In Casing (e) a (c) - (d) <br /> b x e o !7 Ballot SLfI•- x 1�- iq f�- Z.�}Ix3 atwlleY► ( ) <br /> Casing Water Volume (f) ( ) ( } a - <br /> Casing Volumes - ___ x {f) ^' aa� ( } <br /> Volume Purged Temp. Conductance Time Water Description pH <br /> } ( ) ( ) (Color.Turbidity,odor,Oil) <br /> 1 gllort� 19.2."G 11 '.S KS (i { broMr� IJo �day '1.1�/ <br /> 3 --l91l brown rel.+- 1� 1 • t3 <br /> ' r 4,7 <br /> yo,3 I o9 �• �I <br /> 1 <br /> 1 <br /> ' Totai Volume Purged ^' Time Purged Ory(YIN) <br /> ' SAMPLE PACKAGING <br /> Container(s) Type Filtered Preservatives Parameters <br /> and Volume (YIN) <br /> +5 <br /> 40-4"1 V0 ISI o FI G L IA- as T q••a� dwi �s <br /> 1 <br /> i 1-L Ami' air v tj cl4v - <br />