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Harding Lawson Associat y GROUNDA TATER SAMPLING FORM <br /> Enand <br /> Environmental <br /> �'— ronmental Services Weif No _J/�/� <br /> Well Type Knit ❑ Extraction ❑Other <br />' Job Name 7�/� _ <br /> Well Material VC ❑St Steel ❑ Other <br /> .Job -Number DateTime��/Z d <br />' Recorded by - Sampled by <br /> ,�. ..w„r- `^• . '"„'^�--.a ,r< rte" �. �.�+,� r "" "«s�,r``'c "'^�' `"4 Y� v.a*ta"",.�# �T` 'z A <br /> Fix <br /> PURGE VOLti(�tV U GEM U "t <br /> Cosi iometer{D �n inches) ❑B der-Type <br /> inch ❑4-inch 0 6-inch 0 Other 3'Submersible ❑Centrifugal ❑Bladder Pump Na <br /> -arlTotal Depth of Casing (TD in feet BTOC) 0 Other-Type <br /> Water Level Depth (WL in feet BTOC) VarMottom <br /> Numb of Well Volumes to be purged(#Vois) 0 Near Top ❑Other <br /> 04 as Q 1 ❑Other <br />' Depth in feet(BTOC) Screen Interval in Feet(BTOC) <br /> PURGE VO . [fIIE OAf G 't( from to <br /> r _ gD X Z X — X 0 0408 7 — gallons <br /> TD (feet) WL (feet) J D (inches) #Vols Calculated Purge Volume <br /> Start/ Stop 7.5 Elapsed Initial gem Final Z gem gallons <br /> ' fAwitifte Since Cond T❑°C ether Minutes Since pH Canal T❑OF <br /> Other <br /> Pumping Began pH (µmhos/cm) Pumping Began (Vmhos/cm) O F <br /> O g <br /> Meter Nos <br /> Observations During Purging(Well Condition,Turbidity, Color,Odor) G� <br /> Discharge Water Disposal 0 Sanitary Sewer ❑ Storm Sewer 3 her 3 r <br /> WIN <br /> .u!,... <br /> " ❑ Same As Above <br /> ,ler-Type ❑ Grab-Type <br /> ' ❑ Submersible O Centrifugal 0 Bladder,Pump No ❑ Other-Type <br /> Sample Series <br /> ' Sample No Volume/Cont Analysis RequestedPreservatwes Lab, Comments <br /> 1 <br /> ' Duplicate Samples Blank Samples Other Samples <br /> Original Sample No Duplicate Sample No Type Sample No Type Sample No <br /> AL006 arwoa ca ww% Fna con e.ww'. 0746 <br />