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I <br />' <br /> OCMT 511+ MONITORING WELL PURGING AND SAMPLING LUG <br /> pWell No �w <br />' Project Name F<9,-,6✓ ��_S�Yv� Q�j-1�� Pr°JedN/o� 3.-ZT' 3 007-4 <br /> Project Address/City/County 3-} w y p+/f{,�i �� L t-• , r/T <br />' Water Level Marr(Mode/M) t G— E ' - Interface Probe(n.&M) h <br /> ?c7 ifni4 <br /> Water Quality Meter(Mo dm) S 163 Decarttaminatnon Method 3-stage bucket (wash, tap rinse, DI rinse) <br />' PurgmgMethod PVC Bailer _Vacuum Truck SubrnersiNe Pump Other <br /> Sampling Method Teflon Bailer YDisposable Bailer _Other <br /> Borehole Diameter(Circle) 8" 10" 12" Casmg Diameter(Circle) 2" 4" '6" 12" 18" 24" <br /> Borehole Multiplier(BM)(gauons/mot) 081 15 195 Casmg Multiplier(CM)(gaIlonshoot) 01 0 65 147 587 13.2 23 5 <br /> Depth to Free Product(feet) Borehole Volumes(BV) r <br /> Depth to Water(DTW)(fect) �$' WC x BM - (BV)(gal) x 15 BV(gal) <br /> Total Well Depth(feet) Casing Volumes(CV) {{ <br /> Water Coluum(WC)(feet) 2(�.�{ WC 20"1/ xCM 19 = �' (CV)(gap x30CV(geq <br /> Free Product Thickness(feet) ,------- Free Product Purged(gallons) <br /> Cum Vol Purged EI Conducttvrty Dissolved Turbidity Odor <br />' Time DTW(8) [gallons) Temp{°/� pH (v m mhos) Oxygen(mg/w (NM (Yes/No) <br /> 1 Z-4� Purging Start Time ?r p �t 3 -4kiT, 44d <br /> (z s r *K — 35 2�t 4� 9 vy /')-0 <br /> f�pb -q� 910 A)6 <br /> 20,7 `?,So X61 <br />' 10 ri j Total Gallons Purged <br /> 3�b Purging End Time t <br /> Time Sampled 4S30 Depth to Water Sample Time(DTWs). , f <br /> Filtered Analytical Parameters <br />' Container Types,Volumes,&Quantities G'es/-) Sample Preservatives (cross-out au NOT apphcahle) <br /> x 40 mL VOAs N Ice and RC1 TPHg / BTEX / MTBE / OXYs <br /> Maximum Drawdown(DTWm}(feet) Approximate Flow Rate(GP <br />' Recovery - <br /> %Recovery =1- (DTW-DTWs)(DTW-DTWm) x 100 Calculation %Recovery -1 - } x I00 <br />' Recovery Type Fast _Slow %Recovery= <br /> ATC RePresaitative(s) <br />' I <br /> Subcontractor <br /> Signature Jh�a Date <br /> 1 <br />