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GROUNDWATER SAMPLING FORM <br /> ' PROJECT INFORMATION <br /> ROJECT NAME } �t_�Jws 1 PROJECT NUMBER ' r 16�if3,060J WELL NO M VJ__j <br /> PROJECT MANAGER A h TYPE OF WELL Monitoring Extraction Other <br /> RECORDED BY SAMPLED BY A_F� DATE 0Ci2 GQ y <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> 2-Well C ing Diameter <br /> mctti 4--inch other Pump - Type 11 f <br /> Well Total Depth Feet below Top of Casing,TO Pump - Type <br /> Other - Specify <br /> Depth to Water !03'1 q feet below Tap of Casing,WL Hydroon Odors <br /> Water Column Lsngthi613% fest <br /> es No <br /> ' Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> �/ <br /> t X t C [ X = �r O Calculated Purge Volume = 7� allons <br /> ' (WCL) (Mutbplier)J (No Volumes) Actual Purge Volume = allons <br /> Multloller fCasina Diameter rinchesl = Gallons/linear footle 2=017 40i 6(5 6=1 5 a=2E <br /> )esf qs' / <br /> ' Groundwater Parameter Measurement Meter Type P Calibrated_�L/ Yes,No <br /> TIME ELAPSED FLQVVRATE I 07W pH ECTEMP TURBID" REDOX COMMENTS <br /> TIME (�FM3 (ft) cnhoslcm deo (NTU) mV <br /> dec F <br /> 16377qI 6,n c 1 .3 AIA, 1 -7 Pdi- c, <br /> I I �. .,� <br /> I I <br /> 1 I I J <br /> I s t . 00 <br /> I I <br /> 1 I I <br /> I I <br /> I <br /> I �I <br /> 17=ASSOCIA ES INC. <br /> EAMRONMENMAL,GEOTECHNICAL AND MATERIALS PROFESSIONA"' <br />