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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME 1��� CZ 5 AIC{L�S] PROJECT NUMBER ► ,000 WELL NO <br /> PROJECT MANAGER TYPE OF WELL Monitanng Extraction Other <br /> RECORDED BY A F SAMPLED BY -AF- DATE -7 <br /> WELL PURGING INFORMATION <br /> PURGE OLUME PURGE METHOD <br /> Wel[Cg D[ameter <br /> 2-inch ``.finch Other �ailer - Type <br /> Well Total Oe th �b` © feet below To of Casing,TD —!L rump - Spec Types <br /> p pOther • Specify <br /> Depth to Water qt& feet below Top of Casing,WL Hydrocarbon Cd,or/s <br /> Water Column Len <br /> qth ZLffeet Yes ryfl <br /> Purge Volume Calculatson (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> y r <br /> X �' X = ! Calculated Purge Volume = _.�q Ll Llallans <br /> (WCL) (MutapUer) (No Volumes) Actual Purge Volume = allons <br /> t itloller (Cast• E)iamtetarffrichesl =`>aalloWlmearfricl Z=0 TZ 4'20za, 5#9 5 , g.k:�2T w <br /> Groundwater Parameter Measurement: Meter Type .s �S o Calibrated Yes—No <br /> TIME EL PSED FLOWRaTE DTV1f pH EC TURK TY REDCQX COMMENTS <br /> TIME (GPM) ( ) anhosdm dd eg F Com) mV 0'n (id cel <br /> � � J j Q 17t P, ' biro ; sw40io0 <br /> Ir <br /> Jod--3 ..3 1 ,3q 0 1 7q, 16to 2-0, -2- <br /> D C� Zo, r <br /> 1 � <br /> I <br /> VACASSOCIATO INC. <br /> F.WROMM MAI,GEOTECHNICAL AND MATEPJALSPROFEM00AL5 <br />