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Well No { Q- <br /> GROUNDWATER SAMPLE COLLECTION RECORD <br /> ject Name Job No 15 6'S —C`1 Date. ti Z- f <br /> hon ra A Lc - CA <br /> Samplers Name .s. <br /> Weather Conditions Cio,� <br /> 1 WATER LEVEL DATA (from TOC) TOC Elevation(from LS) <br /> a Depth to water (ft) — Za �� Water Table Elev <br /> b Total Well Depth Tape Corr. (TC) <br /> c Length of Water Column = j S2 (b -a) Well Dia <br /> d Casmg Volume = `-1 Yi [c x (gat/ft ca�smg)1 Borehole Dia L{ 'K <br /> e Length of sand pack yl, <br /> f Gallon per ft. of sand pack = 0 I [e x (gallft borehole-gal/ft 2-in casuig/borehole = 0 16 gal/ft <br /> casing) x 0 351 4-m casing/borehole = 0 65 gal/ft <br /> g Sand pack volume — 6$`l (e x f) 6-in casing/borehole = 1 47 gallft <br /> 6 5-m casmg/borcholo = 17 gaUft <br /> ft <br /> h TOTAL WELL VOLUME = Il (d + g) 10-m casing�/borehole = 4 gaYft <br /> 2 WELL PURGING DATA 12-m casmg/borehole = 5 0 galla <br /> a Purge Methodv'-� W tj- ' -` <br /> b Required Purge Volume ((P 111- gallons per well volume) = 5S.1 <br /> c Field Testing; Equipment Used 5 S 55UD <br /> 40d Pump Rate .G <br /> e Method of GW Disposal <br /> f. Recovery Rate low 60 min), Medium(90% 30-60 min), Fast (90%C 10 min) <br /> Volume <br /> Removed Spec Turbidt Color/ <br /> al Time rc H Conductivity 's Desch hon SWL Placement <br /> 6 1110 -71W <br /> 70D C <br /> E <br /> 3' SAMPLE COLLECTION Method 1,, Container Preservation <br /> Analysis -T c- Y <br /> COMMENTS, REMARKS <br /> i <br /> I <br /> I' i <br /> ii I V UBA9JftE.1ME[0319Q71vp11-2Z1G9CR3 wPS <br /> !! I <br /> it <br /> F1PLararlll i <br />