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GROUNDWATER SAMPLING FORM <br /> IF PROJECT INFQRMAT.ION, <br /> PROJECT NAME_�i� d90-S _ PROJECT NUMBER _ZSZS1,(? ! WELL NO <br /> PROJECT MANAGER TYPE OF WELL L,-� Monitoring Extraction Other <br /> RECORDED 8Y SAMPLED BY Ar DATE _ t I21(20 2 <br /> WELL PURLING CNFORIYAATiON, <br /> PURGE VOLUME PURGE METHOD <br /> Well Casing Olemeter <br /> 2-Inch 4-Inch Other <br /> --if Bader - Type <br /> Pump - Type <br /> Well Total Depth feet beiew Top of Casing,TO Other - Specify <br /> ❑epth to Water 76` v feet below Top of Casing,WL Hydrocarbon Odors <br /> Water Column Length <br /> rG•-+�feet Yes No <br /> Purge Volume Calculatton (Water Column Length x Muitiplier x No Volumes = Calculated Purge Volume) <br /> 16J-- X 0 f-�- X -'3 _ S/15757 Calculated Purge Vaiume = allons <br /> (WCL) (Muitipiler) (No Volumes) Actual Purge Volume = gallons <br /> Mrimi Iter fcasftta Diameterry ahes :Geilonsftear foots 2,=Vii'- 4,=O-W- iii=1 5 8;#2-Ttw <br /> Groundwater Parameter Measurement' Meter Typqhsh. —Crl Calibrated ,Yes!No <br /> TIME ELAPSED FLOWRATE OTW pH EC TQLE, TURSIM YREDOX COMMENTS <br /> TIME (GPM) (ft) enhes/cmIQZ�s mV <br /> -s <br /> r 0 ,73 <br /> o aAI 0- 50 IW, 3 <br /> r I b <br /> TAW <br /> 1 <br /> ENIRRONMFMAl;aEOYE ASSO ATES INC. <br />