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i GROUNDWATER SAMPLING FORM I <br /> WELL PURGING SHEET <br /> fork <br /> Env Ira nm en t a I Al <br /> "nr q ' e2rt c"rvrcn-nerr <br /> ITE NAME:_'qvcl�6 U m olio PUMP <br /> E ID #: �007-J 3 Double Diaphram ❑ <br /> JIMELL ID #• MW�)- P Bennet ❑ <br /> Otlydrogeologist: 4q Grundfos 4"A <br /> Date Developed Am3UHand Bailed ❑ <br /> tasing Diameter 2" 3't k. 6" Other <br /> o, H20/ft .17 .38 .66 15 <br /> BAILER <br /> tepth to Water `12 $ /Measuring Point Disposable n <br /> epth of Well ko "D /Height of Water Column Other <br /> x x = <br /> (Height of H2O in Well) (Volume of Casing) (Well Volumes to be Removed) (Volume of Water to be <br /> Purged) <br /> a a x�,, <br /> ,FTime,i vol.of H.O y �pH.a, � �'Specific , w v Temp Sand W _Other Comirnents - � <br /> k✓.k , 1 3 ca6•'3 lf� <br /> 4R moved a���ci COnduCtanCe � = -��+' C!6f6t (Clarity"o{lOr�=COlor� UthCr) <br /> � Q� x,✓es.7 i+ tr C°" 5.:�•q��R�-�.v ildt�,1 s rt`� '-y"c�^ � '".- _ u�.+�^iz�' '� <br /> 2 50_C"" r' �'` Axa. r'� ` >�i _ ,.�'•';.": X<` to <br /> D10 t <br /> r <br /> -�2 -6 <br /> d e�,r <br /> GROG Y' j =D o. A65 -73- o G <br /> �"'� r, -6 �,+a``F�� t` _�s���+�r � ..,� yy,�srrr��c***,,,..���a, � ., rsr ,,,,t r .�-_ � r.�,,u z's•— - __ '. � r�3e,. ��x <br /> SAMPLING METHOD ❑ Same as above <br /> ❑ Bailer- Type: s.s. ❑ Grab -Type• <br /> ❑ Submersible ❑ Centrifugal ❑ Bladder; Pump No.: ❑ Other-Type: <br /> SAMPLING DISTRIBUTION Sample Series: <br /> Sample No Volume/Cont. Analysis Requested Preservatives Lab Comments <br /> l�1trJ-1- � aomW $neo ou S1" <br /> Ai Am D � �Mt l <br /> MEC, �7�tZl 14N� t/ <br /> 4231 Pacific Street♦ Suite 7♦ Rocklin,Califomia 95677 <br />