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GROUNDWATER SAMPLING FORM <br /> PROJE-:T IN.FORMATiCN <br /> 4fPRCJE,07 NAME QS4 PROJECT NUMSER IT,VJ12, CVu3 WELL NG <br /> PROJECT MANAGER �>7 T fFE OF WELL __$ Monitonng Extraction Other <br /> 1 f <br /> RECORDED BY J K SAMPLED BY ©ATE <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE IMETHCO <br /> Well Casing Diameter <br /> ?-inch 4-inch Other X Bailer - Type <br /> 0) Feet below Ta of Casing,TO Pump - Type <br /> Well Total Depth 1yr, Q 9. Other - Specify <br /> Depth to Water U 7 f� Feet l 40w Tap of Casing,WLH�dtocarbon odors <br /> Yes No <br /> Water Column Length •53 3 feet <br /> Purge Voiumee Calculation (Water Calumn length x MUM01sr x NO Volumes = Calculated Purge Volume) ) <br /> 00 <br /> X �� X _ = t Calculated Purge Volume = " " lons <br /> (WCL) (Multfptier) (No Volumes) ACual Purge Volume gallons <br /> r&jt]er f Casiriq Diameter ftchesl = al[orssttinesr foetk =d 4=t-BS' F -T S S=IS <br /> Groundwater Parameter Measurement Meter Type'�Z 67 Calibrated/Yes_No <br /> TIME t_LAPSFD Ft0wRA7-- DTW pH EC TURS1017Y I REDOX COMMENTS j <br /> TIME (ft) anhcslcm effaq C ( } mV <br /> 57 IV 11 f, Z, I11iV !r f l <br /> I kr, or1 qj I Al }t rI <br /> yl <br /> ! I ! I <br /> I I <br /> I <br /> I <br /> I � <br /> ITAXASSOCIATES INC. <br /> ENWNONAHWAL GFOrECHNICAr.AND MATERALS P170FESQONALS <br />