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MONITORING WELL PURGING AND SAMPLING LOG <br />' Well No <br /> Project Name .F Z • [ Project No ?'. Qr Z <br />' Project Address/City/County a5 3-7 U)6.1L40 CCI <br />' Water Level Meter(MadeM) VCS K Interface Probe(Modevm) <br /> Water Quality Meter(ModeKD) @( S� t DecontammatronMethod 3-stage bucket (wash, tap rinse, DT rinse) <br /> Purging Method _PVC Bailer Ci Vacuum Truck Submersible Pump Other <br />' Samphng Method Teflon Barter JV,-Disposable Bailer Other <br /> Borehole Diameter(Circle) S. 10" 12" 1Casing Diameter(Clrele) 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)(gallorWmo0 081 15 195 Casing Multiplier(CM)(gallonslmot) 0 065 147 5 87 13 2 23 5 <br />' Depth to Free Product(feet) �-.� Borehole Volumes(BV) - <br /> Depth to Water(DTW)(feet) Z, �" LD WC x BM (BV�t) x 15 BV(93t) <br /> Total Well Depth(feet.) .�� Casmg/Volumes <br /> 1(CV) <br />' Water Column(WC)(feet) WC ( Zf1 x CM a l`� __Z° Z 7(eve x 3 a cv W Cit• � <br /> Free Product Thickness(feet) Free Product Purged(gallons) <br />' Cum Vol Purged Electric Conductivity Dissolved Turbidity Odor <br /> Time DTW(8) {gajlans} Temp CQ pH (u o�m mhos) <br /> Oxygen tom) (NM (Yes/No) <br />' �� Purging Start Time <br /> to . Z-? <br /> c� Z , Z>-7 <br /> qj7 Total Gallons Purged <br /> s Purging End Time <br /> ' Tune Sampled -7! 145 Depth to Water @ Sample Time(DTWs) 57Z <br /> Famed Analytical Parameters <br /> Container Types,Volumes,&Quantities (ydno) Sample Preservatives (cross out eu aypl�caLte) <br /> x 40 mL VORs N Ice and HCl TPHg TPHd BTEX MTBE OXYs <br /> ox mate Flow Rate(GPM) <br /> Mamtnum Drawdown(DTWrn}(feet) Aper <br /> ' Recovery <br /> %Reco 1- (DTW DTWs) x i40 Calculation %Recovery =1 x 100 <br /> (DTW-DTWm) ( ) <br /> Recovery Type Past Slow %Recovery= <br /> lip - <br /> ATC Reprcvmtve(s) <br /> Subcontractor <br /> Signature Date <br />