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GROUNDWATER SAMPLING FORM <br />� <br /> 31"H <br /> PROJECT NAME. 'f/ZQ 1 WELL NO <br /> S� N� T <br /> @IriipM BM0L' alit 3�p � PROJECT NUMBER. _� 3 Z� TYPE.k otutor�Extractlon _Other <br /> RECORDED BY: SAMPLED BY DATE. <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Wail awn Diemter BPder-Type <br /> 2-r+ch 4-rich otter _Pump-Type 74,1�jr/V^ <br /> Well Total Depth(TD ft below TOG 7qf _Other-Specify <br /> Depth to Water IWL ft below TOCI q r Hyd carbon Odarr- <br /> YE <br /> SS _NO <br /> Water Column Length al)129 <br /> No of Wella to be Purged 3 10 Other <br /> Purge Volume Calculation(water C kum Lmvch z lMAbpier:No,Vola - Ca cwiated Puma vok mal <br /> aD`M X 7 X �?) _ — Calculated Purge Volume = 3 gls <br /> (WCL) (Multlpl.) tj (No Vols) Actual Purge Volume = gis <br /> M&944-1Caidne ala ancheal = G&AGnalRneas W Z=O.T7 4=C BS 6=1 5 8=2 6 <br /> Groundwater Parameter Measurement. Meter Type S-00 Calibrated Yes No <br /> TIMEIGALLONS DTW pHcolvauc TEMP TURBIDITY COMMENTS <br /> (ft} Tnrrry T4 c (NTU1 (COLORIODOR) <br /> eunf�wlcxn dee F <br /> L413�o I a 13 I nf� I�` o,;` <br /> Srt <br /> �s gl�oj Car 3 14i <br /> G rS 3a -Z012-1 <br /> .J" Ci 1 iG' L r C) Z'0I1 lJ i <br /> I <br /> I <br /> I I <br /> I <br /> I <br />