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GROUNDWATER SAMPLING FORM <br /> PRJE,.i::. iNFtRItifATlaN... <br /> OJECT NA, PROJECT NUMBER �Z = i <br /> PROJECT MANAGER: TYPE OF WELL, Manitadng E\ctractian Other I " <br /> RECORCED SY: SAMPLED BY:_ 7A DATE. <br /> !WELL':RE: . GINGIf:JNF R]FiiA t l Oi`J ... <br /> I <br /> PUR -E VOLUME PURGE ME7'HOC <br /> Well asing Diameter I <br /> 2-nct 44nch Otter Izaailer - Type r/ <br /> Well i otsl Cepth + feet below Tap of Casing,7M Pump . Type <br /> e Other - Specify <br /> Depth to Water `�s` !Q -fest below Tap of Casing,Wt. Hydrr urban Odors: <br /> (� s <br /> Water Column Length 3 feet Yes No <br /> Purge Volume Calcularien (Water Cstumn Length x Multiplier x No.Volumes = Calcriared Purge Vaiume) <br /> � Q� n <br /> q1 X f X �l — sJ Calcaiated Purge Volume = V naris <br /> (WCL) (i+Mutt plier) (No.Volumes) A=al Purge Volume caaarm <br /> :> tElciler>:rCasiita Eiamatei~fTtte."esi:f=iGaltaasr�iiieaF-fcc1. 2=II ?_:>ff... <br /> SIS <br /> Grourrdwvater Parameter Measurement Meter M Calibrated:ZYes_NC <br /> TIME �ELAFEED rLCvvR i c OTWH E <br /> F i cwiP rut�elorrr R_DQ COMMENTS <br /> ! 7ME {GSM} (ft} anhaslGss C 'J (NSU) mV6-a-4, - . 6 j (�,- <br /> JJ <br /> aaoI 1010 I a ! -23 JW I � 3I 7 GI tJA I 0 . <br /> � IDI r I )moo 1 1 r- / w+1iSL� <br /> 13L21 I - I , , 12®f ° 72-10 1 I I <br /> I <br /> Iv= <br /> i l I I I I <br /> ASRDCJA E5 INC. <br /> smRcsvu&vrAL,CEflT cHmrGZ A.Yc MATExALS,f oPF=cNA= <br />