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I <br /> oGl>T MONITORING WELL PURGING AND SAMPLING LOG <br /> �j Well No <br />' Project Name Project No l q <br /> Project Address/City I County ZS 3� Q\1 to-f r c `\� � h <br />' Water Level Meter(m.,i UmD) Heron Interface Probe(Modam) <br /> Water Quality Meter(Mode11D) HyDac Decmtammation Method 3-stage bucket (wash, tap rinse, DI rinse) <br /> Purgng Method X PVC Bailer Vacuum Trude Submersible Pump Other <br /> S"Borehole <br /> ld Teflon Bailer X Disposable Bailer Other <br />' er(Circle) 8" 10" 12" Casing Diameter(Circle) 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)(gattms/root) 081 is 195 Casing Multiplier(CM)(gallons/root) 16 065 147 587 132 235 <br />' Depth to Free Product(feet) Borehole Volumes(BV) <br /> Depth to Water(DTW)(feet) sb ,6 WC x BM = (BV)(gal) x 15 BV(gal) <br />' Total Well Depth(feet) `+C( C7 Casing Volumes(CV) <br /> Water Column(WC)(foet) '2�,7j L WC3Z x CM 0 0o = 3 (CV)(gat) x 3 0 CV(gal)(,C) l3 <br /> tFree Product Thickness(feet) Free Product Purged(gallons) <br /> Cum Vol Purged I Eledrrc Conductivity Dissolved Turbidity Odor <br /> Time DTW(ft) (EaRorvs} Temp(ZC3 PH (u or n mhos) Oxyge3i(mg/L) ( v1 (Yes/No) <br /> lie C'0 5 Purging Start Tzme <br /> Total Gallons Purged ( iv <br /> PurgzngEnd Tzme <br /> Tune Sampled Depth to Water cQ Sample Time(DTWs) 5$, <br /> 040 <br /> Filtered Analytical Parameters <br />' Container Types,Volumes &Quantities (Yes/no) Sample Preservatives (caoss out ell NNT apphcable) <br /> x 40 mL VOAs N Ice and HC1 TPHg / BTEX / MTBE / OXYs <br /> 1 <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> Recovery <br /> %Recovery =1- (DT Wm� x 100 Calculation %Recovery =1 X100 <br />' Recovery Type _Fast i Slow %Recovery= <br /> ATC Representatives) <br /> Subcontractor <br /> Signature /u 1` -/`+-,' " Date <br /> 1 <br />