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GROUNDWATER SAMPLING FORM <br /> n PROJECT INFORMATION <br /> ROJECT NAME G'�C� -r �A" PROJECT NUMBER s4 f X393 WU: WELL NO <br /> PROJECT MANAGER TYPE OF WELL Mcnitonng Extraction Over <br /> RECORDED BY SAMPLED BY lw� DATE 9 <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> e Casing Diameter <br /> 2-inch 44nch Other Hader - Type In�G <br /> Pump Type <br /> Well Total Depth �J�z feet below Top of Casing,TO Other Spec.fy <br /> Depth to Water G feet below Too of Casing,WLHy ro rbon Odors <br /> � Yes No <br /> Water Column Length I Z.y feet <br /> Purge Volume Calculation (Water Column Length x Mulbniier x No Velumes = Calc.itated Purge Volume) / <br /> t2- 0 x a'r 7 X = Calculated Purge Volume = CJ � gallons <br /> (WCL) (Muttrplier) (No Volumes) Actuai Purge Volume = _ .l� gallons <br /> Mulbcller (Casina Diameter Unchesl = Gallons/luiear footle 2=017 4=0.65 5 =2� <br /> Grcunowater Parameter MeasuremenC Meter Type Ysr 3Sz-D Calibrated XYes No <br /> TIME ELAPSED FI-OWRAT E DTW PH EC Tc �Re�C�� RE�QX COMMENTS <br /> TIME (GPM) (ft) unhcslcm �IAP <br /> {NlTU} I mV ��r=S <br /> 2<3 I f r�2-6 0•G-7 I ! 1 1I <br /> rz o 1 0:0-;L Z_ l a b 1 0,S� 1 zu 0 1 I l yt <br /> 75 .!3a 10 5• <br /> 05 10,21 of '52— <br /> IFAXA <br /> I a I I <br /> I I I I I I I <br /> I <br /> ENMROAL�SOTEtH0WCR�AND MATMALS ROF>::;J <br />