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Groundwater Sampling Form <br />• Protect Name 440 W CNAfzTEii wy - Well No M`"- `t <br /> Project Number c4502-i6- Z, Well Type -fi]IJlondor []Extraction Other <br /> Recorded 9y F38 Sample,{by 6t3 Dale <br /> WELL PURGING <br /> .PURGE VOLUIrE PURGE METHOD <br /> Well Casing diameter ❑Satler-Type <br /> 2-inch 4-inch Other .Ljru mp-Type . <br /> Well Total Depth(TD,ft below TOC) Lf-4 -75 []Other <br /> De 'h Io Water L ft below TOC 35 5(, PUMoP INTAKE <br /> De ih 10 free Kase h dro,ya-bons FP ft below TOC) top Depth(ft) <br /> Number of well volumes to be pur ed ear Bottom Depth(t1) <br /> 3 10 6 Other Other <br /> PURGE VOLUV E CALCULATION Pumping Rale V gpm <br /> 99 X ldc X % �t 3 = 0 -1 0Z1 <br /> WF',er Colirwi Leny^tIt M iropl er No Vols I CALCULATED PURGE VOLUME <br /> MULTIPLIER CasinR D,a rindhesl=GzlIonsAinear FC1 <br /> 2=0173=038 4=066 45=083 5= 102 6= 15 8=26 ACTUALPURGEVOLUME <br /> 13ROUNDVWATER PARAI.IETER M4EASUREI4 ENT Meler T)?e MYtZoid LADS <br /> TimelGallons py Cond Temp deg C Turb;daty CDior/Odor <br /> fuo rcr ldea F T <br /> / 171 qV, f64T, i <br /> / <br /> 1 <br /> Conimen's dunng well purge <br /> Well Pumped dy YES NO Purge v a'er storageldsposal []Drummed onsite '�]Olher -re-xACO <br /> WELL SAMPLING <br /> SAMPLING METHOD Dale/—5me Sampled X43" 1 <br /> Ea Ser-Type`e SS$ F <br /> 11;110V!5 <br /> 17 V! Sample port ❑ Other <br /> GROUNDWATER SAMSPLE PARAMIETER PEASUREMENTS l.leler Type <br /> DatelTme%Recha ge pH ! Cond Temp deg G Turbidrty Color/Odor <br /> uomhcslcm dee F (NT1 1 <br /> SAMPLING PROGRAIh <br /> Sample No Con;a,ner 4/Volume Analvs s Preservatives Lahoralory Comments <br /> 1�4w-uk 3 ��10 Mt. vOA TPN-tr $ NGL 13G <br /> I <br /> QUALITY CONTROL SAMPLES, <br /> Du Gcate Sample Blank Samples <br /> OnoSnal Sarn le Na <br /> Duplicate Sample No TvDeSample No <br /> Tn <br /> Rlnsale <br /> Transfer <br /> Other <br />