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n <br /> Groundwater Sampling Form l <br /> Protect game Ydell No 49 A,1 I <br /> 0rotect Number r — ra Well Type 'Of.ondor []Extraction Other <br /> Recorded By Sampled by At___ Date _/!— /f- F <br /> w{ WELL PURGING <br /> PURGI VOLUME 'PURGE METHOD <br /> Well casing diameter E)ESaffer-Type <br /> 0 2-inch a 4-in-ch []Other - Pump-Type <br /> Well Total Depth(T D,fL below TOC) []Other a <br /> De th to Water 'dL ft belawTOC Z 'O O �•' PUNA INTAKE <br /> ��pth1A fr� s� <br /> hase hvdrocarbonFP.1t belawTOCI,__, Near top Depth(ft) <br /> Number of well volumes to be pur ed Near Bottom Depth(ft) <br /> Y3 E] 10 Other Other <br /> PURGE VOLUtM.E'CALCULATION Pumping Rale cpm <br /> �J r X X = aal <br /> Water Cola-n Length MuMpfier No Vo's FCALCULATED PURGE VOLVIJE <br /> i IULTIPUEr2 Cas:na Dia inches =Gallonsllrnear` z7, 61 cat <br /> 2=0173=038 4=065 45c0E3 5 a 1 P2 <br /> j 6= 15 8=25 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER 1.4EASUREMENT Meter Tvpe <br /> TimelGallons psiCondi Temp deg C Turbiddy ColorlOdor <br /> uomhas cm dea F tJTU <br /> i q 13 / t7, 27,0D 7 , y 71 <br /> ZZ, aytea` <br /> I � I <br /> y 1 7 I ZJr i z5 ccs 1 -7-3 G I 7 ! <br /> ' I I <br /> 1 ! I I <br /> / I I <br /> I <br /> Commen's during well PL ge <br /> Well Pumped dry' YES Purge water s'o,agerd sposal (]Drum'ned onsre Other t <br /> WELL SAMIPLING, <br /> SAMPLING METHOD DateTme Sarnpied /Lib ! 1 yZ_ <br /> Eailer-Type Sample port 0 Other Ell <br /> GROUNDWATER SAP'PLE PARAIdETER MEASUREMIENTS Meter Type <br /> DateTmeJ96 Rechar;e pH Coni Temp deg C Turbidrty Color/Odor <br /> uomheslcm deo F NTV <br /> / 1 <br /> SAMF4 LING PROGRAM <br /> Sample No Conlai-rer RNotume I Anahsrs Presemztrves Labarato Commenls <br /> I <br /> ! ! ! <br /> ;QUALITY CONTROL SAMPLES, <br /> Duplicate tet <br /> rate Sam les Blank Sam <br /> Onarnat Sam le No Du Gcale Sample No T Sample No <br /> Tn <br /> Rrnsat e <br /> Transfer <br /> Other: <br /> P Vf_tAl!_/D5Cr1171.I 1z17C Y11 lJS.%P nit - - - <br />