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Groundwater Sampling Form <br /> Project Nam o W. CAJLv �� WY s�-mcWa` Well No 74W /U <br /> lojectNumber p t -7r Well Type Eluraction <br /> �OLtier <br /> eecordedBy Sarnplee by $$ Date t--lam-Cls <br /> SURGE VOCUf.tE ` PURGE METHOD <br /> Well casing diame'er []Bailer-Type <br /> 2-rnch ® 4-lnch (]Other F5Purnp-'type 'LEG. sUg <br /> - -Well To:al Depth{TD,f! betow TOC) Ll73F_Z_ Other <br /> De 'h to Water 6NIL,A betow TOC -�� PUtgtP INTAKE <br /> Qeo: 11 b <br /> h la free aFzse hvdrorzrbors(FP. e:owTOCI __- Near top Dep.h(ft) <br /> Number o well vo imes to be Purcell Near bo;,o�n Depth{ ) Y7© 3 [J 10 'Other HO'her <br /> t'PURGE VOLUVE CA LCUL.ATION Pump ng Rave 10 cpm <br /> x x � �' <br /> Wz'er Col,.-nn Lene h Vit p',er No Vols CALCULATED PURCE VOLWAE <br /> tAULT1PL1=� Casino Dsz rinch.-sl=GallonsAinear. :20 car <br /> 2=0 1713=0 32 14=0 6514 5=0 E3 15=1 0216= 1 5 15=2 6 ACTUAL PURGE VOLUME <br /> GF20UNDWATE R.PI.RAI'ETER VEASUREMENT MeterT,.pe MYIZOIJ L DS <br /> T,^-e,Ga;rrs pli Cond Temp I ,deg C Turb ary I Cv;orlvdor <br /> luornhes c-) deo F VqTU1 <br /> I o 1 OC) i 6 6 / I <br /> I I I o Iff y 9 1 <br /> / 30 I .v I <br /> I I I I <br /> I I I I i <br /> Co-men's dJgny wet;p_•ge <br /> Y.et1 Pumped dry YES :O Purge v G'er s'a-a«e a sposal E]Drvn-ne=e-see 40iher Of 5 <br /> KNELL 5^NTLING <br /> SAf.1,PL1N'G 14ETHOD Daler5me Sa^pled $-15'q5 I_/ 13/2 <br /> Bailer-T}-pe @J Sample port D Other n <br /> GROUNDWATER SAtdPLE FARAVETE:R VEASUREMENTS I ieler Type <br /> DateT-re1LG Fechz•pe i ; { Condi e.-.,p }deg C ` Tu-bm y { ColorlOdor <br /> uo-)hes ern dea F I (NT U <br /> SA1APLING PROGRAId , <br /> Sars�le Na Container�Nol�r,e Arah3ss I Frese�.lwes Lasa z'o Comments <br /> t <br /> t4A_ 0 { JOA 3set,-- a 1140 I i <br /> VOA I c.ot l a I SCA I <br /> I 1 I i I <br /> I I ! I I <br /> I ! I I I <br /> I <br /> ax QUALITY CONTROL SAMPLES <br /> Du rir2le Sam les Blank Sam les <br /> Ona,nal Sam le No Du Gcate Sam le No Ty <br /> I Sam fe No <br /> Tna <br /> Rsnsale <br /> Transfer <br /> Other <br />