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GROUNDWATER SAMPLING FORM <br /> QQ le.�rPROJECT INFORMATION �}�' / <br /> PROJECT NAME CG,► ,v►veS � AC(LPROJECT NUMBER k <br /> ,04501 WELL NO 9J/ <br /> PROJECT MANAGER TYPE OF WELL ✓Monitanng Extraction Other <br /> RECORDED BY SAMPLED BY Ar DATE D 17//V O 3__ <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well C mg Diameter <br /> 2-inch LL��4-Inch Other �ailer - Type r <br /> Well Tota!De th 7blZ45 feet below To of Casing TD Pump - Type <br /> P P 9 Other Specify <br /> Depth to Water 27110 feet below Top of Casing,WL Hydrocarbon Odo <br /> { � Yes �,No <br /> Water Column Length +l feet <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> IN, X X -7 = Calculated Purge Volume gallons <br /> (WCL) (Multiplier) (No Volumes) Actual Purge Volume 3 gallons <br /> Multiplier (Casing Diameter Inches = Gallons/linear foot 2=017 4=066 6=15 8=26 <br /> Groundwater Parameter Measurement Meter Type s/—3-""©d Calibrated V Yes No <br /> TIME ELAPSED FLOWRATE DTW pH EC TEMP TURBIDITY REDOX COMMENTS f <br /> TIME (GPM) (ft) i,rnhos/cm e9 (NTU) mV / <br /> ae j <br /> 2e), 3 <br /> (m U•'i TS zo r d�d <br /> C3 .o �� • ''f t Zo . 16 <br /> 'S <br /> ZO <br /> IMASSOCIATES INC. <br /> ENVIRONMENTAL GEOTECHNICAL AND MATERIALS PROFESSIONALS <br />