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.t a <br /> GROUNDWATER SAMPLING FORM <br /> 77 P :ZCJECT 1KF0RMA,7 CN <br /> . !_PROJECT NAME PM (OaS4- PROJECT NUMSER r 93,OOC)7-.�,VELL NO pq w(ij <br /> i <br /> PROJECT MANAGER TYFE OF WELL ✓Manctanng ExtractlOn '� Other <br /> RECORDED 6Y ' � SAMPLED, EY ,Af DATE -� �� <br /> t <br /> -VVEL.L. PL'RG;NG~ INFO.RMA.t 1ON, a l <br /> PURGE VOLUME PURGE METHQD <br /> Well ung Diameter <br /> V10 2-inch 4.4ncfj Cther Z Bader - Type-bf $p.Satb&, <br /> - <br /> Well Total Depth fest below Tap of Casing,77 Pump Type <br /> Other - Spetrfy <br /> Oepth to Water 61 3, L✓&'yfeet beltw Tap at Casing,WL <br /> Hydtncaon Odors <br /> Water Column Length � �t est <br /> e9 No <br /> Purge Volume Calculmon (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> HI??, x 0 / x %3 - 7` 3o Calculated Purge Volume <br /> (WCL) (Multlpiter) (No Volumes) Actuat Purge Volume = S gallons <br /> I4tt111fnilees Castrw�Q�arnets �fT c:tesT =` alltnstlineaFfoo# - 2=CrT7"" 4t-II SES 6;-1 5- 6=2-5- _ <br /> Groundwater Parameter Measuremerrt: Meter Type Calibrated �F`"'Yes No <br /> I <br /> TIME ELAPSED FLOWRATEOTW pH EC 7F�MP TURS[ARY I R=CX CO MEMS <br /> MME (GPr't1 (ft) C55TI-, WTU) ! mV ��l <br /> I ° Q <br /> evo <br /> 1 I � fsr <br /> I s%4 I !7 <br /> I <br /> �. (D Lk _ <br /> VAMASSOCIATES INC. <br />