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GROUNDWATER SAMPLING FORM <br /> PRO JECT €NFORMA7ON <br /> PROJECT NAME 7 PROJECT NUMBER &1fW5Y,2(W1WELL NO M V6 —,S <br /> PROJECT MANAGER t'f _TYPE OF WELL ✓ Monitonng Extraction Other <br /> RECORDED BY - _ SAMPLED BY Arf^ DATE _ q2`E C� <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME FURGE METHOD <br /> Wefl Ing Diameter <br /> 2-inch 4-4nch Other B filer - Type f f� <br /> �ump - TypeC"�t�fl.�(. <br /> Weil T otal Depth 27e feet below Top of Casing,T❑ Other - SpecIy " �j <br /> Depth to Water 10'4 feet below Tap of Casing,WL H f=50-ebdors <br /> � <br /> Water Column Length 151u feet I,-Yes No <br /> Purge Volume Calculation (Water CVolumes Column Length x Multiplier x No Vol�mes = Calculated Purge Voiume) <br /> I's-,S (i % X O�11 ` <br /> X = O i ! 0 Calculated Purge Volume aaUons <br /> tWCL) (Multiplier) {No Volumes) Actual Purge Volume = 2- - gallons <br /> Multtolter Cas; ❑tameter 4n ttesl = Gallonslltnear foot? 2,=017 4=0,E6 6=15 8=2-6 <br /> 1 <br /> Groundwater Parameter Measurement Meter Type V <br /> 11 7J Calibrated vZYes�No <br /> TIME ELAPSED r"i_OWRATE DTW pH EC TE-39a. ITUF2BiDtTY REEDOX COMMENTS <br /> TIME (GPW (ft) anhoslCmdeg C (N M mV J` g7 L <br /> 6�411J— <br /> I lr I =i94 G r ` ,14,z, 19 -1 <br /> I <br /> 'T= <br /> I <br /> I <br /> I <br /> I � 1 <br /> I <br /> EN <br /> YIRO AL G60TECY ASSOCIAT�SCI C. <br />