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GROUNDWATER SAMPLING FORM <br /> I <br /> r rr PROJECT INFc7RMA-MON I <br /> i JE,--7 NAME L�S QS :a771� ti4°RCJEC7NUMBER 5-'/,259/X,060'5 WEL L NO M _ <br /> PRCJEC T MANAGER iYPE OF WELL ✓Manlzonng Extracti& Other <br /> RECORDED BY SAMPLED BY T AF DATE QLZ603 <br /> i <br /> rv, WELL. FURG;NG INnRMATION <br /> PURGE VOLUME PURGE METRO❑ <br /> Weil Casing Olameter <br /> 2-Inch 4+nch Other Bailer - Type ,rr <br /> - Type SV�8�C- <br /> Weil Total Depth feet below Top of Casing,TD Other - Specify <br /> Depth to Water re_t below Top of Casing,WL Hydrocon Odors <br /> Water Column Length r�;<eet Yes No <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> a q i 5,5- X � X � _ g l (o Calculated Purge Volume = ��, allons <br /> (WCL) (Mutdplier) (No Volumes) Actual Purge Volume = Ions <br /> valluoller Casiraa Diameters c:iesl,= atlanslfiz7ea>'€oat° Z-C T 4=Q55 E-11 9 22-1 <br /> Groundwater <br /> - <br /> Groundwater Parameter Measurement Meter Typ S 02C Cailbrated Zyes No <br /> TIME ELAPSEDFLflwRATE dTW pH EC TF-MP TUR6101TY R1=JOX COMMENTS <br /> TIME t�pA'q (it) anhwjam � ( mV <br /> aea F <br /> 2r 6 4VAI <br /> (& <br /> f 5—Ly <br /> 3 55 ;-5 , 1 1 ttiZ!r I , Q-- <br /> W I a/, <br /> I I I - <br /> 17AW <br /> I <br /> I <br /> I I I i <br /> I <br /> 0MRONMENTAL,=TECHN�����������C3 <br />