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GROUNDWATER SAMPLING FORM <br /> /� � PROJEST INKYRMATIGN ff-- � <br /> PRC�ECT NAME .�� C_ �5r.— pROJEC T NUMBER.s5�.Z g!, �Cd'WELL Na <br /> FROJECT MANAGER �� TYPE OP WELL t/ Monitoring Extraction Other <br /> RECORDED BY SAMPLED 6Y DATE <br /> } WELL PURGINCZ: INFORMATION <br /> PURGE VCLLIME PURGE METHOIC <br /> Well frig Qtameter <br /> 2-inch 4-inch Ctherader - Type <br /> Pump - Type d�` <br /> Well Tata'Depth Q feet below Tap of Casing,TO Other _ Specify <br /> Depth to Water ' feet below Tap of Casing,WL Hyp.arbon Odors <br /> Water Column Length LE-1��3feet Yes Na <br /> Purge Volume Calculation (Water Column Length x Multiplier x No.Volumes = Calculated Purge Volume) <br /> 25r G�& X X • Calculated Purge Volume <br /> f (WCL) (Muttlplier) (No Volumes) Actual Purge Volume gallons <br /> Mrsttioller fCasi marneter r1reftael.—Gallon-a iarfaor - Z GAT 4!=eta< e—1 a- t'Fr2-el <br /> / . - <br /> Groundwater Parameter Measurement' MeeS/r <br /> Ty. r <br /> Calibrated T Yes_Na <br /> TIME ELAPSED �FLCWRATE DTW pH EC I MMP TURBIDrrY REOCX COMMS T <br /> TIME (GFM) (ft) anhcslcm d F (NTq mV YcG� �[" <br /> 2 zo '73 1137- 15 a y- 4 n, <br /> Gr I f t _ s oda v <br /> 3 17 10 -- 0, /917-1 4 <br /> '0 rr� <br /> - <br /> VAMASSOCIATE <br /> ENVfRONIHFMAL,GE498 INC. <br />