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Groundwater Sampling Form <br /> Project Nam-44o W CKJ.> �� %'dell No "W <br />*ject Number p 3 -7 r \'dell TYpe �F,Aant ar []Exiracb, n Other <br /> i "lorded By Sample-d!:y $S Date 1-1G-a5 ry <br /> f F 4< WELL PURGING <br /> PURGEVOLUI.IE PURGE t1ET'HOD <br /> Well casing d ameter E]Eater-T}'pe <br /> 2-inch ® 4-41-ch []Otherf punp-Type <br /> Well Tolal Dep'h�D,ft below TOC) ' ` J _ �O1hef <br /> Ge th to Water Y n bebw TOC 7 pUN A INTAKEp, <br /> h <br /> De th to free `ase hv."ocarbors FP-r1 be ow TOC Near lop De:pt (R) <br /> f:,rnber o well vofumes to be pureed Near 6c tom Depth <br /> © 3 10 Other O:her <br /> ?,URGE VOLUI',E C:.LCULATl0N Pu-rp ng Ra'e 10 cpm <br /> Lri �X Cel � <br /> V,ra'er Co�u-•s Leng h tJ�r�;'er t - AALCUL TED PURGE VOLUIJL= <br /> 1AULTI-,L=R Casino D-a tim`+a = Gallo^sArnear` -a c`, <br /> 12=0113=03614=065145=06315= 10216= 15,5=25 ACTUAL PURGE VOLUWE <br /> GROU;:D1','ATERP,t,rF,AIIETERI'EASUr%Et.',ENT !'el.erT,,e MY260 LADS <br /> T me/Cs,.ors P4 Cond I Tena I ldeg C T>~rbidjy ColorlOdor <br /> i luonh^s'-1 DSC deti F N T U1 <br /> � 1 I I o0 1 17aoo <br /> I ! I I I I I <br /> 1 ! I I I I <br /> 1 1 I i <br /> Co-.-nenlS duan;we 1 P. ae �— <br /> 1'.ell PL•r,ped dry YES a <br /> Purge v�e sb cge.d sp=sal �Or-�+e=c~sr•e �O.her G�� �7 <br /> WELL""I'4PLINIG <br /> SAt.4Pl_ING 14ETHOD Da;eMime Sampled 8-Vs- <br /> Eader-Type 13 -n f22 <br /> Sanple pct O:her 0 <br /> GROU`dDWATERS1I.PLEPARA?.ETERN£ASUREt4ENTS 1:.eleriype <br /> Da'e,Ti•ne196 i=ec�z ge ( Pi { Cond Te-,a deg C ` Tu•bs:`y 1 color/odor <br /> I uonlicsic m 1 deo F I (NTLI I <br /> 1 1 k <br /> SA1d,PLwG PROGRAIA , <br /> Sanale No %Coma=ner RNoljme f,ralvs s I PresetiaComments <br /> 'rves Labc c <br /> I <br /> T - I -40A 3 ISOM-la.0 <br /> i YOA s call i tw] i acA <br /> I i I I <br /> I I I I <br /> QUALITY CONTROL SAMPLES <br /> Blank Sam fes <br /> DVatilule Sam les T Sam to No <br /> Onoinal Sam le No Du ficate Sam 1e No <br /> � Tn <br /> Rinsale <br /> Transfer <br /> Other <br />