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1 <br /> GROUNE)WATER SAMPLING FORM <br /> P FcOJEC-7 INFO RMATTG N„ <br /> I � <br /> CJEC i NAME lAr bas SAx/flA PROJECT NUMEEP E�! NO pFRCJE::T MANAGER c 7Y7-F-OF WELL �Manitanng Ertracjan <br /> I �Other <br /> RECORCE7 EY SAmr-L-=:) BY CTE. <br /> i�. 65 ZYC) <br /> I <br /> WELL FURG3NC;'WFQFCUA7CN- A <br /> I PURGE VOLUME FURGE iM THQO <br /> wed Casing giatrteterr <br /> I 2�nc-t ✓/ 4-andi Other 8 Type <br /> Wed ictal Cepth feet delan Tag of Casing,TC —�Pump ' 7YPe-SUL",Z�/� <br /> � Gther • SFe'r:,iY <br /> Ceph to w=" _(c1 �feet tefav+r Tap of Casing,WL <br /> HyCrcc:srt:art ter Z4� <br /> rr <br /> Waw C�turnrt Leng��4�tees Yes <br /> i <br /> Purge Vatume Ca1=12aan (Water C//aiumn Lwgth x Mum;;iier x ,4a.Vatumes = Calc.amm Purge Vatume) <br /> t®0 x 01 (0 x _ n Cal=„bated Purge Vaiume = .3 J 1 (p ins <br /> (WCL; (Murhalter) (Na Valumes) Ac=Purge Vatume = 1 ins <br /> v�v <br /> i <br /> Gmauncwater Parameter Measurement: Mew Type Calbrated:,Yes <br /> i <br /> iiME �E-.APSEZ CWFZA,—c QTW pH E' NFtBICiTY I -]Cx CCMMENTS <br /> ,,ME (r-" UP aTln,.l=n (25;tfl MIA mV <br /> IjaI I r "( .O I f3Zl ! I I P1- I <br /> 1 1 I f I , I g l I I '� � <br /> 2 2. 1 i - l i I II I A),gI <br /> 1 I I I I I 3,s <br /> Ior I 11 I I I _ y <br /> I I I f I I I ! <br /> I # I I I I I <br /> I I I I I I I I I <br /> I I i I I I I I I <br /> I I I I I I i I <br /> 1 I I I I I 1 <br /> I <br /> I I I I I <br /> TIAMASSOCIATE <br /> N <br />