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i <br /> "'gig <br /> MONITORING WELL PURGING AND SAMPLING LOG <br /> • Well NoW'l/ <br /> Project Name � 1'rojed No <br /> Project Address I City/County <br /> Water Level Meter(ModeYM) Heron Interface Probe(McticMD) <br /> Water Quality Meter(Mode D) HyDac Decontamination Method 3-stage loucket (wash, tap rinse, DI rinse} <br /> Purging Method X PVC Bailer Vacuum Truck Submersible Pump Other <br /> Sampling Method Teflon Bailer X Disposable Bailer Other <br /> I <br /> "Borcholeter(Circle) 8" 10" 12" Casing Diameter(Cwde) 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BMXgavons/root) 081 1 5 195 Casing Multiplier(CM)(puons/a t) 0 1 065 147 5.87 131 235 <br /> Depth to Free Product(feet) Borehole Volumes(BV) <br /> Depth to Water(DTW)(feet.) Sl _we x sM - (Bv)(gat) x 1 5 By(�) <br /> Total Well Depth(few) 5'1 Casing Volumes(CV) f <br />' Water Column(wC)(fect) 7 zz WC ?- e z x CM l(o = / (CV)W) x 3 0 CV(,d) <br /> Free Product Thicimess(feet) Free Product Purged(gallons) <br />' Cum Vol Purged )011- <br /> El <br /> Conductivity Dissolved Turbidity Odor <br /> Tune DTW(ft) (BR�s) Temp CC) pll (u orm metas) Oxygen(mg/L) (N[U} (Y-No) <br /> Mc) Purging Start Time <br />' 1 7Y Z Yl -- <br /> z NO 1�- �- <br />' �l3 3 732 57 <br />' 3 Total Gallons Purged <br /> Cf �/ Purging End Time <br /> ITime Sampled Depth to Water @ Sample Time(DTWs) 57l_�; <br /> Filtered Analytical Parameters <br /> Contamer Types,Volumes,&Quantities 0,-fno) Sample Preservatives (cross-out an NOTapphcable) <br /> Ix 40 mL VOAs N Ice and HCl TPHg / BTFX / MTBE / ORYs <br /> I Maximum DrawdownDTWm feet <br /> ( x ) Approxutiate Plow Rate(GPM) <br />' <br /> (DTW- Recovery - <br /> %Recovery =1- DTWs)(DTW-DTWm) x 100 Calculation %Recovery=1 ) x 100 <br /> Recovery kiiType ]cast Slow o <br />' /o Rewvery= <br /> ATC Representative(s) p�J� <br /> Subcontractor / <br /> Signature "� k�f Date <br /> I y <br />