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GROUNDWATER SAMPLING FORM <br /> (� PROJECT INFORMATION <br /> PROJECT DAME �qC , '�- 1 of se PROJECT NUMBER LL NC ' <br /> PROJECT MANAGER CL __TYPE CF WELL Monitonng Extraction Other <br /> REC"')RD'ED BY SAMPLED BY Af:� DATE <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well Csing C�lameter { <br /> c./ 2_�ncti ff4��-inch Other oder - Type � <br /> �L J•�-�J Pump Type <br /> Well Total Cepth feet below Top of Casing,TO Other - Spec fy <br /> Qepth to Water 6 feet below Tap of Casing,WL L Hydrocarbon Odors <br /> 1 Water Column Len <br /> gthl/ S —) feet Yes 7k�Z No <br /> Purge Volume-Calculation (waterColumnColumn Length x Muibolier x No Volumes = Calculated Purge Volume) <br /> �/ � C <br /> l� I X 0i '_? X = — !;- j Calculated Purge Volume = 5: allons <br /> (WCL) (Multsplier) (No Volumes) Actual Purge Voiume = allons <br /> Muttirlier (Casirn Dameter +des) = Gallonsalneax footle Z=0 17 4=Q86 — ' d.= o <br /> Groundwater Parameter Measurement, Meter Type �3 - Calibrated �_ s�No <br /> TIME ELAPSE!) FLOWRATE OTW PH ECTUR81Crr( RECOX CCMMENTS <br /> TIME (GPI (ft) cm (NTU) mV <br /> F <br /> Y 1 /< q Y Y <br /> 3 5 <br /> I I <br /> - i <br /> I I <br /> 1 <br /> i I <br /> i <br /> r <br /> ASO�ATESIN <br /> EHVIRG AI.GEOTECN S <br />