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i1 �I <br /> SDCIATES INt MONITORING WELL PURGING AND SAMPLING LOG <br /> . Well No MW- <br /> FProjectame Project NoPRclFJ (. Cousi �EcKcRrlo"� s11 1b373ddress/City/County -6-7-5-5 <br /> ,7S-5 <br /> �►'(..n{vrd d e 5`�,,ncla-rat✓ <br /> PURGING&SAMPLING INSTRUMENTATION & METHOD <br /> Water Level Meter(mo&tm) Heron/ ATC-1 Interface Probe(Modevm) NIA <br /> Water Quality Meter(Modewm) HyDac / OAKTON Decontamination Method 3-stage bucket (wash tap rinse DI rinse) <br /> Purging Method X PVC Bailer Vacuum Truck Submersible Pump Other <br /> Sampling Method Teflon Bailer X Disposable Batter _Other <br /> BPAkHOLE &WELL CASING VOLUME INFORMATION <br /> Borehole Diameter(Circle) 8" 10" 12" Casing Diameter(Circle) 2" 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)(gallonsrroot) 0 81 15 195 Casing Multiplier(CM)(ga ionsiToot) 016 065 147 587 132 235 <br /> MONITORING JREMFNTS PURGING CALCULATIONS <br /> Depth to Free Product(feet) 0 Borehole Volumes(BV) <br /> Depth to Water(DTW)(feet) —7:Z, Q 1 WC S 7 1 x BM 6 $ _ - <br /> (BV)(g.J) x L 5 BV(gal) <br /> Total Well Depth(feet) 71� �c� Casing Volumes(CV) <br /> Water Column(WC)(feet) S l WC x CM = (CV)(gai) x 3 0 CV(gal) <br /> Free Product Thickness(feet) 0 Free Product Purged(gallons) 0 <br /> PURGING DATA <br /> Cum Vol Purged Electric Conductivity Dissolved Turbidity Odor <br /> Time DTW(fr) (gallons) Temp(°C) pH (u or mhos) Oxygen(mg/L) (NrU) (Yesmo) <br /> ZPurging Start Time <br /> Total Gallons Purged <br /> ,L)S Purging End Time <br /> SAMPLING DATA <br /> Time Sampled 1:5 p tr Depth to Water @ Sample Time(DTWs) 7 3 Q <br /> Filtered Analytical Parameters <br /> Container Types Volumes 8 Quantities (yes no) Sample Preservatives (cross out all NM applicable) <br /> 3 x 40 mL VCAs N Ice and HC1 TPH <br /> g / fiuii VOC s / Fuel OXYs <br /> WELL RECOVERY DATA <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> (DTW-DTW s) Recovery I <br /> %Recovery =1 - x(DTW 100 Calculation %Recovery = 1 ( x 100 <br /> DTWm) <br /> Recovery Type Fast Slow o <br /> — /o Recovery= <br /> FIELD PERSONNEL <br /> ATC Representative(s) <br /> Subcontractor N/A UITJ <br /> Signature Date g(, <br />