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GROUNDWATER SAMPLING FORM <br /> j� PROJECT INFORMATION <br /> PROJECT NAME _J�C4�lC ��'� I�`�C .PROJECT iNUMEER ;���,S r Cc 1 � � �`� <br /> ' �T.._. NEL NO <br /> PROJECT MANAGER TYPE OF WELL �Monitonng ExtraClan Other <br /> ' RECORDED 6Y SAMPLED BY Jr DATE <br /> I <br /> WELL PURGING INFORMATION <br /> 4, <br /> PURqE VOLUME PURGE METFGC <br /> Well as,ng❑�ameter <br /> � 2-;nc't 4-inc`t Cther d fader Type ,e <br /> ' Well Total Cepth �' Z-feet he(ow Tap cf Casing,T❑ comp 'yee <br /> ff Other - 5cec ry <br /> Death to Water lam ' feet below Top of Casing WL yydroc en Cdcrs <br /> �-7 _ <br /> Water Column Length 7. i feet Yes No <br /> I <br /> Purge Vclume Cra�lculatrcn tWater Column Length x ,tiluittplter x Ne Volumes = Cafc.Ilatea eLrge Volume) <br /> 11-7`T X 0, 1 7 A X - c?'C ✓ Calcilated Purge Volume = Q [ 'allcns <br /> (Multiplier) (Ne Volumes) Ac ual Purge Volume = h �__ gailcns <br /> MuMce ter (Casing Oiameter (fncthest = Gaflons/linear foot) 2=0 17 4=II E6 6=1 5 8=2 6 <br />' Groundwater Parameter Measurement Meter Type YS! )VCallhrated t. Yes—No <br /> TIME Ici aDSEC I rLCWPATE E)-jv i -- 1 CC T.—ELIP 1 TLEZ2101T" REDCX I CONAiENTS <br /> TIME (CrMI} (ft) I innoslem �,NTl)) 4 <br /> '4 mV <br /> 1YZC�I _� I I Ic , 14:�l�l d t JAI A l <br /> J I Iti <br /> 7 ck), f` I �'� -t 441 z "1 11 <br /> 1 I L- 0-7 Or -- <br /> I I I I I I J I <br /> i I i I I I I I E <br /> I I I I I ! <br /> ! I 1 I I <br /> I I I I <br /> I I I I I <br /> VATgssoCIATES INC. <br />' EHVIRCNh4EHYAL.GEOTECHNICAL AND MATERIALS PROFESSWNALS <br />