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1 <br /> GROUNDWATER SAMPLING FORM <br /> 6 I _ PROJECT iNFORMATFON <br /> IPROJECT NAME &klt c Cnp&4_. PROJECT iNUMEER �N, ��3 3��`�1 WELL NO FVtVJ 1 <br /> ' � I <br /> I PROJECT lk1ANAGER �'d A TYPE OF WELL �'� Monitcring <br /> Extraction Other , <br />' RECORDED BY 1� SAMPLED BY A -" _ DATE <br /> I <br /> WELL PURGING INFORMATION <br />' PURGE VOLUME PURGE METHOD <br /> Well Xsmg Diameter <br /> 2-inch 4-inch Other ✓Bader - Type —r4w)(0 <br /> - <br /> Wepump Type <br /> OtherWell Total Depth r � feet below Tap of Casing,TF} Pum - Spec fy <br /> Depth to Water feet below Top of Casing,"NL rlydrec on Cdcrs <br /> Yes No <br /> Water Column Length feet <br />' Pi.rge Vciume Calciiaticn (Water Column Length x Multiplier x No Veiumes = Calc-.ated purge Volume) .� <br /> -1,14 X1 11 C., X tk�- Calc elated °urge Volume = ,� caslons <br />' (/VCL) (Multiplier) (No Velumes) Ac*uat Purge Volume allens <br /> Muitiolier Cas m Diameter Tnchesj _ 4GallensRinear fcotk 2=0'17 4=¢66 5= 15 S=2 5 <br /> Groundwater Parameter Measurement ti1e*er Typey ! 3 tN Caliirrated ./Yes No <br /> I i <br /> T 1ME f EEL-,P S F_E) I FLCWFZATE p j W pH I cC ILI E31CITY RE;OX I COMMENTS I <br /> VIC I y T ) _In <br /> ''` -a ��`deq i: I } w I <br /> MIMI <br /> 5S 1 I1q ,9 s t -'M l - I I r <br /> I1 1 ! okv I (SI I i F <br /> a � I I1 -it In <br /> I I I I I ! I <br /> ! <br /> I I I I I ! ! I ! <br /> r ! <br /> ASSOCIATES INC. <br /> cH"Ra VMENTAI GEOTECNNJCAL Amo MATERIALS PROPESS7ON-, Z; <br />