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GROUNDWATER SAMPLING FORM <br />' PROJECT INFORMATION <br /> I <br /> PROJECT NAME%6W � L-C- PROJECT NUMBER �C�+'� 3.0Ck)1 <br /> -�. off- � HELL NO _M IJP" <br /> PROJECT MANAGER *:h1/A_ _TYPE OF WELL ',�Monitoring Extraction Other <br />' RECORDED BY 14IF SAMPLED BY DATE _1 Z_14400 <br /> WELL PURGING INFORMATION <br />' PURG 1/GLUME PURGE METHOD <br /> We! asmg Diameter <br /> 2-,nch 4-inch Other �ailer Type <br /> Well Tata!Depth 1 �3 feet below Top of Casing Ti} = r imp Type 4 t Ir �t f <br /> �� Other - Spec fy <br /> Depth to Water ll=I il-T" fee!below Tap of Casing,WL <br /> Hydrocart: n Cdors <br /> r y� <br /> Water Column Length 1!1 t q3feet es No <br /> Purge Volume Caic,ilancn (Water Column Length x ,Ulult:piier x No Valumes = Calculated Purge Volume) <br /> I X } X r = 15-,'70 Calculatea =urge Volume = t ailons <br /> ()/VCL) (Muttlatier) I (No Volumes) Ac:uai Purge Volume aallans I' <br /> Mulftlier (Canna Diameter fTnchest = Gallo nsilinear featk 2=0 17 s.=(T 66 6=1 w B=2 6 � <br />' I Groundwater Parameter Measurement Meter Type i -21 aiibrated ,/yes No <br /> -"IME EL A°SE'O I F'CWPATH DTIpi I pH i EC TE7URSIC17- l PEO'C" CCMVIE,q 7S <br /> iIME {CPM) (ft) vrncslcm de C i (N L) mV <br /> Y�1 <br /> -M.'n <br /> 1-3 <br /> ► _� 1I cb-A�c <br /> l0-1,2-01 �1I �, <br /> 67 711- ►57 I �S� I I t <br /> -7,OR 110 <br /> 1 I I 173, <br /> 1LI q 91I f <br /> 1517 (_, 01 7 -4ji I 7. i ,'51 I <br /> I I I I I I <br /> I ri ' Lo S 6, C- <br /> I ! I I4f <br /> I ` <br /> 17= <br /> I I I I i I <br /> I I I I I ! I I I I <br /> 1 I ! I I I <br /> I I I <br /> A SOCIA ES INC, <br />' EH%4F?0MMENfAI,GEOTECHNICAL AND MA7ERfALS PROFE11"LL <br />