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• GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION 11 � <br /> rFROJECT <br /> BaZZQnC � PROJECT NUMBER S Q 1 WELL NO�yviejit jj 1 <br /> GER TYPE OF WELL Monitonng Extraction ✓ Other <br /> E SAMPLED BY A_ DATE _ . 113 [') <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well Casing Diameter a ' <br /> 2-Inch 4-inch Other 1� Bader - Type <br /> - <br /> Well Total Depthfeet below Tap of Casing,TO Pump TypeOther - Specify <br /> Depth to Water feet belcw Top of Casing,WL Hydrocarbon Odors <br /> Water Column Length feet <br /> Yes o <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> X X = Calcilated Purge Volume = allons <br /> (WCL) (MuRipller) (No Volumes) Ac'ual Purge Volume = allons <br /> I4luttlntler (Canna Diameter rooliesi = GalfonsihLieaF food 2=Q tT 4=-5-66" 6=15 8=2-S <br /> Groundwater Parameter Measurement Meter Type Calibrated _Yes No <br /> TIME I ELAPSED FLGWRATE DTW pH EC TEMP TURBIDITY RF-00X COMMENTS <br /> TIME (GPM (ft) Imhoslcm ddeg C (NTU) mV <br /> � I i <br /> 10SQ j I II <br /> I <br /> %1 1 0 <br /> 1 <br /> VAM <br /> I I <br /> I I I <br /> I I <br /> ASSOCIATES INC. <br /> ENVIRONMENTAL,GEOTECHNICAL AND HATMALS PROFES9ONAL5 <br />