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GROUNDWATER SAMPLING FORM <br /> all PROJECT INFORMATION <br /> PROJECT NAME Rr't' PROJECT NUMBER _j y, e jj3 jXd WELL NO <br /> PROJECT MANAGER tS VA TYPE OF WELL w/Monitoring Extraction Other <br /> RECORDED BY A SAMPLEC EY A � DATE t 1� 00 � <br /> i <br /> WELL, PURGING INFORMATION <br /> �'�JRC�E VOLUME PURGE MET CD <br /> Wefll smg Diameter <br /> 2-inch flinch Other lades Type r <br /> (� v Pump - Type/V. <br />' <br /> Well Total Cepth �L t �(O feet below Top of Casing,TO Other Scec fy <br /> Depth to Water feet below Top of Casing,WL <br /> j1 Hyara art:cn Cdcrs A <br /> Water Column Length r it to feet Yes : o C cliq'A4l cl'4e �J <br /> I <br /> Purse Volume Calculation (water Column Length x �Llultiplier x No Volumes = Calc,tlatea Purse Volume) i <br /> X `�i 17, X - r ��� Calculated Purge Volume <br /> € (WCL) {Multiplse (No Volumes) Ac•ual Purge Valurne = �j e gallons <br /> i <br /> Muttlolier rCasim Giameter- finches{ = Galionwlinear footle 2=017 4=U66 6=1 5 8=26 <br /> F <br /> Groundwater Parameter Measurement Meier Type S 1 31 CaliorateQ. Yes No <br /> T SME I E?aPSc� i FLOWR4Tc nr7y/ I Y1} cL I n ooiC=ry I RECGX GGNiMEV— <br /> SME I (C;=M) (ft) mnas�cm �N i.) mV <br /> G I 0,1 I 3f. I r V 0.341 17, / /J,A lJA <br /> 1/3ic <br /> 7C .50 I I I ©y 1171 & I t <br /> 13 L <br /> I 162+TSI 7 --'H I1?r,7 I I 1 - <br />' I I I l I 1 <br /> IVAM <br /> I I i I I I � • � -= I �� ��� ` <br /> ! I I I <br /> I <br /> I I I I I I <br /> I I I I I I I <br /> 1 <br /> AS-SOCLATES INC. <br />' ENVIRONMENTAL-G80TECHNIC.AL ApOOMATERIALS FROFESSIONAL-' <br />