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Harding Lawson Associa GROUND-1 TER SAMPLING FORM <br /> 1 Engineenng and <br /> Environmental Services Wel! No <br /> .}Ob Name �e � _ Well Type , onitoo p Extraction ❑Other <br /> Well Materia! PVC ❑ St Steel © Other <br /> 0job Number Date _ 3��4 _ Time <br />' Recorded by Sampled by <br /> rs�ewa� rrrt��, <br /> PUF f EEVVOL 1�E <br /> Casi Diameter(D in inches} Z1BJq; r-Type <br /> inch ❑4-inch Q 6-inch ❑Other "ubmersible Q Centnfugal ❑ Bladder Pump No <br /> Total Depth of Casing(TD in feet BTOC) <y 0 Other-Type <br /> Water Level Depth (WL in feet STOC) <br /> N b91of Well Volumes to be purged(#Vols) _!� om O Near Top 0 Other <br /> Q 4 ❑5 ❑ 10 0 Other Depth in feet(BTOC) Screen Interval in Feet(BTOC) <br /> from to <br /> 2 � <br /> t�D_ X79 1 X Z X 6 X 0 0408 = 27 1 gallons <br />' TD (feet) WL(feet) / D (inches) #Vols Calculated Purge Volume <br /> � a <br /> / Start,[ Stopes_ Elapsed Initial Z !-S gpm Final 175' gpm gallons <br />' es Since p Cond TO'�c./ Other Minutes Since pH Cond T fl°C Other <br /> Pumping Began H (gmhos/cm) W Pumping Began (gmhos/cm) 0'F <br /> Z.bra• 69F <br /> 9 <br /> .y <br /> orl — <br /> Meter Nos <br /> Observations During Purging (Well Condition, Turbidity Color,Odor) <br /> Discharge Water Disposal Q Sanitary Sewer O Storm Sewerher <br /> Q Same As Above <br />' Q Bailer-Type ❑ Grab-Type <br /> ❑ Submersible Cl Centnfugal ❑ Bladder,Pump No 0 Other-Type <br /> Sample Series <br /> Sample No Volume/Cont Analysis Requested Preservatives Lab Comments <br /> Duplicate Samples Blank Samples Other Samples <br /> Original Sample No Duplicate Sample No Type Sample No Type Sample No <br /> FL00• 0-r"Co.. W-rM r-.Can C. 0746 <br />