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GROUNDWATER SAMPLING FORM <br />' PROJECT INFORMATION <br /> PROJECT NAME <br /> 7 PROJECT NUMBER ��GJ�i ! WELL NO <br /> PROJECT MANAGER 11A TYPE OF WELL &-"'Monitonng Extraction Other <br />' RECORDED SY A� SAMPLED BY � <br /> -- DATE <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well Casing Diameter <br /> 2-inch flinch Other <br /> �ailer . Type <br /> Well Total Depth feet befow Top of Casrng,TQ J Pump - Type 419j,ca <br />' Other - Specify <br /> Depth to Water feet below Top of Casing,WL Hydrocarbon Odors <br /> No <br />' Water Column Length feet Yes <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> X X - Calculated Purge Volume Gallons <br /> (WCL) (Muttiplier) (No Volumes) Actual Purge Volume Urgallcns <br /> MLiftlier (Case Diameter chest = Gallonsilinear food 2=Q#T 4=066 5=1 5 8'm 2E 1 <br />' Groundwater Parameter Measurement: Meter Type Calibrated —Yes—No <br /> TIME JELAPSED FLCwRA7E DTW pl{ EC TEMP TURBEITY REOCX COMMENTS <br /> TIME (GPM (ft) nnhos/crn deg C (Nr" mV <br /> deg F <br /> 77 <br /> 1T=ASS <br /> i <br /> r <br /> j <br /> I <br /> EN"PQNMENTALti GEOTECNNANDM AJ�RC ES QNZ <br />