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• GROUNDWATER SAMPLING FORM <br /> PRGJE*.",T INI'CRMATION <br /> PROJECT NAME d PRCJ7=:T NUMEER ZSJQ Q)Q 1 WE,-L NO <br /> ARCJECT MANAGc.R T(4 7PE CF WELL _ Monitormg E.dract on Cther <br /> RECORDED BY SA1MPLE:0 @Y = 144& .*C DATE Z/S& <br /> VVE,! RURGFNG INFCRMA T iON <br /> PURGE VOLUME PURGE METHOD <br /> Well Casing Olarneter <br /> 2-incrt _-,4nch Other Y Bader - Type i <br /> Weil Tatat Depth ?6 7o <br /> C feet below Tap of Casing,710 Pump - Type <br /> Other - Specify <br /> Depth to Water U3. $-7 feet below Top of Casing,WL Hydrocarbon Odors <br /> I <br /> Water Column Length 3 ! feet Yes No <br /> Purge Volume Calculation (Water column Length x Multtniter x No Volumes = Caiculatea Purge Volume.) <br /> 3 '3 x 0- 6,5' X _ .�! Calculated Purge Vatume°_ ---gallons <br /> (INCL) (Multiplier) (No Volumes) Actual Purge Volume = tons <br /> EA tI>7Aller (Casina Oiameter f#tcsest = GaUorzlHnearf=� a Z5 I <br /> Groundwater°arameter Measurement: Meter TypeG Calibrated Yes_Na <br /> I TIME ELAPSED � FLCVVRA—ir- 07W pH FC Tam P selorry f RJ=OOX COMMENTS <br /> IME (GSM} ( � vincsl=n d"C {rITS1} I} mV <br /> dea F <br /> t�5 I /S I x'7-7 10 Z5 1 ,.7-7 <br /> 1 -3%) 4- 76 0 ?1 Z2. -1 I I I I <br /> YS 7& 5Z <br /> I <br /> 1 I I I <br /> I I I I I I I <br /> I I <br /> 1---7- I I <br /> ! I ! I I I <br /> \N7=A <br /> 1 <br /> 1 I I I I <br /> S510CIA7-;:5 INC. <br /> EMNonM0frAL.GECTECHMCAL AM0 KAi£RMAL:S PAQFE=DMAL <br />