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1 <br /> �.wItsIE <br /> MONITORING WELL PURGING AND SAMPLING LOG <br /> ZProjWell No rklkt_ 12- <br /> Project <br /> ect Name �►J a� ProjedNo p�.z592-77. X'2-4P <br /> PeAddress/City I County <br /> 257_3-7 <br /> hJ -P�] <br />' Water Level Meter(MO&M) V-L4 0 1 Interface Probe cm-km) <br /> Water Quality Meter(Mod&TD) \ f Decontamination Method 3-stage bucket (wash, tap r3-nse, t)T rinse) <br /> tj <br />' Purging Method PVC Bails _Vacuum Truck Submersible Pump Other <br /> S"Borchole <br /> lMhd Teflon Bailer �Disposable Bailer Other <br />' ter(Circle) 8" 10" 12" 1 Casing Diameter(Circle) Y 2Y 1 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BMkgall nshoat) 081 15 195 Casing Muhmpher(CM)gpAQnstrooc) 0 16J 0.65 147 587 131 2351 <br />' Depth to Free Product(feet) Borehole Volumes(BV) — <br /> Depth to Water(DTW#ed) S� g WC XBM (BV)(PD x 15 BV(gai) <br /> Total Well Depth(fed) Casing Volumes(CV) <br />' Water Column(WCxfeet) WC x CM_L/ _ V (CV)(,,) x 3 0 CV(ga) <br /> Free Product Thickness(feet) Free Product Purged(gallons) <br /> Cuin_Vol Purged Electric Conductivity Dissolved Turbidity Odor <br /> Time DTW(ie) ts� ) Temp(°c) Phi (w or-mhos) Oxygen(.WL) (NM (Y-No) <br />' j°t'5 Purgzng Start Time <br />' Total Gallons Purged <br /> �PurgmgEndTzme <br />' <br /> Time Sampled s C Depth to Water @ Sample Tune(DTWs) <br /> Filtered Analytical Parameaers <br /> Container Types,Volumes,&Quantities (Y-/no) Sample Preservatives (Boss-oat au N0T appli®ble) <br />' x 40 mL VOAs N Ice and HCl TPHg TPHd BTEX MTBE OXYs <br /> r <br /> Maximum Drawdown(DTWm xfeet) Approximate Flow Rate(GPM) <br /> Rec;ov y <br /> %Recovery (L)TW-DTWs} X100 Calculation %Recovery =I (t""' � x 140 <br /> (DTW-DTWm) <br /> Recovery Type est _SIow %Recovery= <br /> ATC Representative(s) <br /> Subcontractor <br /> Signature - Datef Z <br /> r - <br />