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m l r <br /> Groundwater Sampling Form <br /> Fro}ect Names{ o W c3'&VTE% WY ST2e.WC4 Well No Mw` <br />�lect Number a ! -7r Well Type ❑Mondor ❑FXracison []other <br /> Recorded Sy Sanp:& .y be Date <br /> '- WELL FURGING <br /> 'PURGEVOLUIdE h, PURGE tl,ETHOD <br /> Well easm.9 diameter ❑Fairer-T}re <br /> ❑ 2-inch ® 4rnch []Other ejX Pv-np-Tyae F'Fc. std <br /> Well Total Depth(TD,It below TOC) 41 el— <br /> []Other <br /> Deo'h to Wa'er YL 11 be;aw TOFUMP INTAKE <br /> Oe :h 1a free `ase hvdrr_aruors rP ft <br /> be' TOC Near lop Depth(f.} <br /> Nurber o wets volumes to be puroed Near 60�cm Dept)("} <br /> 03 ❑ 10Other O'her <br /> PURGE VOLUTE CALCULATION Pun;-+g Rase 10 cpm <br /> A ICS [e� X lot. X - Zt 0 cal <br /> Vti'a'er Cal�-in Lens h t!u`ip'rer No Vo's~ CALCULATED PURGE VOLUIJE <br /> I.AULT1PLlER Casina D.a inches =Gallon Vneaft e-- ACTUAL PURGE VOLUME <br /> ca <br /> i <br /> 2=01713=030 4=065 45=0E-s 5=IO2 B -15i.. 25 <br /> GF OUNDWATER PARAMETER V EASUREM.EhT Be;er T,.e _MY200 LpDS <br /> Ti re'Ca;nrs I PHCondi Tema deg C ( Turb cy Coloriodor <br /> ! luo-nhcs --I GC deo F f f4 T U <br /> I'A�_4 r 14 I -I e I 1t�ga I w9 I y i <br /> zl I-I I t8go I �9 1 -74-7 I ,, <br /> ! I I I I I <br /> I ! I I I I I <br /> r I I I I <br /> ! I I I I <br /> Ca'nrnents ds.nny well p.: ee <br /> ti'r'e!I P.rmae-d dy YES :O Purge ris`er s'c��e dsaasal ❑Dr-r-ied c^s'e ©Other kE� <br /> I <br /> WELL S^,hiFL1NG <br /> SAIAPLING METHOD 5ama+eS 1-t-30 <br /> :ader-7}?e ® S58 <br /> Sa-npte port ❑ Other n — <br /> GROUND%VATER S AMPLE PARAVETER1.'EASUREf.ENT$ IIeller Type, <br /> Da1f=eJMnr_=1-%_FecFa•;e pa Conti Temp j ;de.-C I Tu15jdry { Color/Odor <br /> uomhos cT deo F I 4 <br /> SF.f1PLING PROGRAM <br /> 5amale No GontainerwNolirne Are%-s-s Fre<erti lives I la5o a'o I Commenls <br /> MIS-Ismo I Hu. <br /> vOA 1 I tool IBcA I <br /> I I <br /> I I I i I <br /> QUALITY CONTROL SAMPLES u <br /> Du Grale Sam les Alank Sam les <br /> Onomal Sample No <br /> Du licale Sam ie No T Same No <br /> Tn <br /> Rinsale <br /> Transfer <br /> Other <br />