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(ri <br /> GROIJNEDWATER SAMPLING FORM <br /> PROJE:�T INFORMWTION <br /> AJECT NAME I! moi } UGC C!y--fROJEC7 NUMBER If] cXW WELL NO _1 <br /> PROJECT MANAGER , Jl/ J't 7'T-E= OF WEz.L. 4z— Manitonng Extraction Other <br /> 1 / <br /> RECORDED BY c S--r:� SAMPLES BY DATE C73 <br /> ;YA ;ti `r „ " WELL PURSING-INFORMATION' h } <br /> PURGE VOLUME PURGE METHOD <br /> Well Ing:olamater <br /> nch 4-inch Othery Sajler - Type <br /> Well Total Deptt �'�feet below Tap of Casing,TO Pump - Type <br /> Other - 5pec1y <br /> Depth to Water �60V feet below Top of Casing,WL Hydrocarbon Odors <br /> Water Cclumn Length f 133 feet Yes No <br /> Purge Volume=culaaen (Water Column Length x Mulb;ijer x No Volumes = Calculated Purge Volume) <br /> ! 3 -33 x Q l X -3 = U Calculated Purge Volume gallons <br /> (WCL) (Multlpller) (No Volumes) Actual Purge Volume = '? loris <br /> nlvtttlboller,�Cas�traDiametar~f#thathest;`="�alfans��eatc-fontk- 2=Q#'�"ry 4•�(L5E� 6'�1 �f �'=2&:A „} : .`^ ,c "' '> ,�- "'", <br /> � <br /> 9 <br /> mnt S kMl <br /> Groundwater Parameter MeasureeMet r Type�_Calibrated Yes No <br /> TIME EL+4PSE) FLOWRATe 07VV PH EC 7URS1OrrY REDOX COMMENT5 <br /> TIME (raRn'g (tt) annagucm deg C V71j) My <br /> _sem I <br /> I <br /> I � - <br /> 9H%dR <br /> OMAIFMAL G�OY6Cf ASSOCIATE Fl INC' <br />