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1 <br /> °e1 T��11qN MONI'T'ORING WELL PURGING U GING AND SAMPLING LUG <br /> 1 Wcll No <br /> Protect Name r� C 612 V� �� / p r^ Project No <br /> Project Address/City I Couttlg z5-; <br /> 3 7 �ig t!/ Iz600 AW <br /> Water Level Meter(iafoaellEfl) +�_ Interface Probe(Mvee(IID} /�j <br /> Water QualntyMeter(t�taasuID) d Decontamination Method 3-stage bucket Swash, tap rinse, DI rinse) <br /> K <br />' Purging Method —PVC Bailer _Vacuum Truck =Submersible Pump Other <br /> Sampling Method Teflon Bailer disposable Bailer Other <br /> Borehole Diameter(C 8" 10" 12" Casing Diameter(Clmle) 2" 4" 6" 12" 18" 24" <br /> Borehole MuItapher(BM}(ga¢a root) 081 15 195 Casing Multiplier(CM)(gpuone/root 0 16 0 65 147 587 132 235 <br /> Depth to Free Product(feet) Borehole Volumes(BV) <br /> Depth to Water(DTWAd) 55,�5 WC x BM = <br /> (BV)(ga) x 15 BV(tet) <br /> Total Well Depth(feet) Casing ones(CV) 8t% 2e Ca UM Y. eo Z /Co <br />' Water Colurmn(WC)(feet) 3 ell 55 WC x CM a&5 = 22 YS (CV)(0) x 3 o CV(gal) 7 7 <br /> Free Product Thickness(fest) Free Pr (gallons) <br /> Electric Conductivity Dissolved Turbidity Odor <br /> Tune DTW(s) , j Temp psy pH <br /> P (u o:a,mhos) Oxygen(mglL) (Nru) (Ya/No) <br /> t <br /> Purging start 7 € <br /> 3 Z <br /> 7 Z ca ?.3 C'D <br />' a fatal Gallons Purged <br /> Purging End Time <br /> Time Sampled Depth to Water @ Sample Time(DTWa) <br /> Filtered Analytical Parameters <br /> Container Types,Volumes,&Quantities 0—M) Sample Preservatives (Ross-o,a all hM apphcabtc) <br /> x 40 mL VOAs N Ice and HC1 TPHg TPHd STEX MTBE oxYs <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> (DTW QJWw ) Recovery ( ] <br /> %Recovery =I - (DTVI'-DTWm) x 100 CalculatiCalculation %Recovery =l- x 100 <br /> ( ) <br /> Recovery Type _Fast _slow + 3 Q %Recovery <br /> ATC Represerttattve(s) r— " <br /> Subcontractor <br /> Signature <br /> Date <br />