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S <br /> GROUNDWATER SAMPLING FORM <br /> {� PROJECT INFORMATION I <br /> ROJECT NAME �'?<<�-c ��5 r PROJECT NUMBER I�3�3 �D+� WELL NO M <br /> vA- <br /> PROJECT MANAGER f/ TYPE OF WELL Manitonng Extraction Other <br /> RECORDED BY J SAMPLED BY DATE <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well astng Diameter _ <br /> e2-inch 4-inch Other Bailer - Type %1 Src.4f// <br /> P <br /> Pump - Type <br /> Well Total Depth �� Z feet below Top o[Casing,TO Other Specify <br /> Depth to Water 6 3--b-:�- feet below Top of Casing,WL H rocarbon Cdors <br /> � Yes No <br /> Water Column Length feet <br /> Purge Vetume Calculation (Water Column Length x Mutttplier x No Volumes = Calculated Purge Volume) <br /> 45X 0 r 1 --7- X — 5,V Calculated Purge Votume ciallons <br /> (WCL) (Mulhplier) (No Volumes) Actual Purge Volume = allens <br /> MZ Mcller fCas;nq Diameter fftechest = Gallonsilinear fora 2�0 4T 4=0-66 6=15 8=2-5 I <br /> Groundwater Parameter Measurement Meter Type 451 3 Calibrated Yes No <br /> TIME ELAPSED � FLCWRATE DTW pH EC Tei �Reto� � ft1=s70X p�COMMENTS <br /> TIME (GPK (ft) anhowcm <f5_ (NTU} mV P.m//7 <br /> d F <br /> 0136 l6,0- 19. [ ► i <br /> C1 I it <br /> 10-24 1 7srn I <br /> 6T 50 <br /> ! I I I I - <br /> I <br /> I I <br /> I <br /> I I � <br /> I <br /> I I I I <br /> • <br /> 1AX'ASSOCIATES <br /> ZINC.. <br /> ,;HvrR0Hx£NrAL.4;ECTUCHNiCAL ANO HAiTRIALS PRQF£Sr=(3HA-Z <br />