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GR0UN0WA7E3R SAMPLING FORM <br /> P RO J E-7,7 I NFO RMA71 G N <br /> -p JE-ZT {NAME q lr A' PROJE,:T NUMBER -ITq QW)-, WELL NO 5 <br /> i <br /> PROJECT MANAGER 1211A —1 -(FE OF WELL Monacring <br /> Extraction Other <br /> RECORDED BY SAMPLED BY A-f DATE. 3h � <br /> WELL FUFZC-VG" INF0RilcX71C]K A <br /> i <br /> PURGE VOLUME PURGE METHCO <br /> Well sing Diameter <br /> 2�nct� 4anch Other Bader - Type 1 <br /> Pump - Type <br /> Well Total Depth �` feet blow Top of Casing,TO Other - Specdy <br /> Depth to Water 6'�-5v feet below Tap of Casing,WL Hydrocarhon Odors <br /> Water Column Length—) Yes Na <br /> Purge Val=e Catculanan (Water Column Length x Multiplier x No Volumes t= Calculated Purge Volume) <br /> r -Z X t�� 1 X — �-� 6 Calcutated Purge Volume = � allans <br /> (WCL) (Multiplier) (No Volumes) Actuat Purge Volume = Ions <br /> L! <br /> Groundwater Parameter Measurement Meter TY4J Calibrated Yes_No <br /> 71ME ELAPSED FLOWRATE DTVI! PH EC TE1AP TURsioiTY FtEOOX CnIMMENTS <br /> TIME (Gt'► (ft) anhaslcm deg c (NTLI) my <br /> dec F <br /> L93 I f7.3 3 1 I <br /> �1-2 I 17 ' I _ I � Q I e ll <br /> I - <br /> a <br />