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1 <br /> GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMAT10N � <br /> PROJECT NAME �t����d — PROJECT NUMEER 13011,. Ot+ol WELL NO l�11n1 - <br /> PROJECT MANAGER DA TYPE OF WELL I/ Monitoring Extraction Other � <br /> RECORDED EY AlF SAMPLED BY A�e DATE O I Z9 9 <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br />' - Weli�asing Diameter <br /> _V/ 2-inch 4-inch Other Sailer - Type <br /> Pump - Type Aion4(6 <br />' Well Total Depth �feet below Top of Casing,TD Cther - Spec fy <br /> Depth to Water 19 f�1 feet below Top of Casing,WL H rq!farbon Odors <br /> N, <br /> Water Column Length L�(eV Yes ;;�et I <br />' Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> l ! J ^_ X 0 '+Ci X — Calc dated Purge Volume = gallons <br /> (WCL) (Multspller) O (No Volumes) Actual Purge Volume = aflons <br /> �,tultloller Casa Diameter fF ac:aes = GaltonsA�nea�faatl <br /> Z=017 4=fL66 6=15 8=26 <br /> I � <br />' Groundwater Parameter Measur?meat Meter T ypeA1 J;SW Caii@rated /Yes_No <br /> TIME ELAPSED FLCwRATF QTW pH =CI TE URSIDITY REDOX CCMMENTS <br /> TIME (GPM) (ft) anhoslcm eg C (NM mV <br /> ,S <br /> T-1kZ3 Z 19 l7 520 122 I 1�- I t-1 A <br /> z 2 -T3 -510 I zz <br /> , aob <br /> 23 1q,30 y90 I 2-2--7u-, eldr <br /> `z36 13 q .3( 7. q lb o <br /> 1 I Z 21 t q"52' Z 3 PV `�"�' - • OAC.- l <br /> a� 2s 2 vl 2. I I <br /> I I I I <br /> 1 <br /> I <br /> I <br /> 1 I I <br /> 1 <br /> 1 � <br />' T=ASSOCIATES INC. <br /> ZWA01y"1SWrAI,GEOTECHN1CA1.AND MATERWLS p,10F9=0NAIS <br />