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PROJECT'Ti ties_.OA Oq—Og9 PRO.f NO o2 3 Id30. tat� <br /> IA ASSOC1ANDAIATES EVENT <br /> iSAMPLE NO W-�(- <br /> ro u n dwaterr Su docs Water qp�ater DATE COLLECi'Eb L I,' )) TIME 'J <br /> Pie CoHection Form wFATHER Ctee r, f444 COLLECTOR 6u67 <br /> 'TER LEVELJWELLJPU52E DATA <br /> Sample Type Groundwater x12 Surface Water [� Other Sample Location <br /> Ith to Water(ft) -7( S 9 gill�e me 13-5—S Meas.From Top of Protective Casing Top of Well Casing <br /> 1 Casing Type M PVC Stainless Steel 12 Fiberglass CasingPWell Diameter(',whole no.) �- <br /> Well Condition Secure Qor NO) Damaged(YES Ora Describe <br /> tinple Location � -3 -34 <br /> Purge DatalTime t Qr Casing Volume(gal) 9 VOLUME OF SCHEDULE 40 PVC PIPE <br /> End Purge DateMme i f �?(� L/7 Purge Volume(gal) 11MDiameter O D 1 D Volume WL Water <br /> it <br /> I Depth of Well ��./] nch nch elfin ft lbsRn ft <br /> (ft below top of well casing) 9l� 1.25 1 880 1 380 008 064 <br /> 2 2.375 2067 017 145 <br /> Purge Volume Calculation 9/.Sy-7/12"' xp 17=3 3 x3=/D.f7 4 4500 4028 068 551 <br /> 8 147 12.24 <br /> t a Water Disposal to 455-gal drum 1:1 Storage Tank a Ground Q001sir Gal Purged t( <br /> Vol Purged rg Cond. Turbidity DO Temp. Other <br /> (gal) PH (US/cm) NTU) (mg/-) ('FPC) Comments/Observatlons <br /> LE COLLECTION DATA <br /> Sample Colleated With Bailer Pump/Type ype�rf>��v �_ I ( S I °_�,(.,._ <br /> 4 <br /> _ - f' <br /> 2kP Stainless Steel [a PVC Teflon Pa1yes�. Q Other'{ sFicltld <br /> c,dure Aiconoxwash Q Tap Rinse DI Water Dedicated Other ►` �� <br /> / <br /> //9 I'LU, <br /> Sample Description(color.turbidity,odor,sheen,etc.)% <br /> plicate phi y Conn S) Dies O en Temp(•FPC) OvIer <br /> 2 Turb z r�4 <br /> 3 m r � , <br /> 4 ) #DIVIOf I 6DIV101 #DIVIOI #DIVlol " ! I #DIVIOt #DIV101 <br /> pH Meter Cond Meter Cond.Range Calibration Date <br /> r Callbratlon Check: pH7 Buffer Reads at °C after sample coltectlon. <br /> UANTITY TYPICAL ANALYSIS ALLOWED PER BOTTLE TYPE Circle applicable or write nanAdandard analysts Ibel <br /> &260) .(4010) 020 NWTPH-G PH-Gx T WA OR ❑ <br /> 8270 PAH NWTPH-D NWrPH-Dx H-HCID ai 8141 QII 8 Grease WA ❑ OR ❑ <br /> H Conductiv[ SS BOD urbid Alkalin HG031CtJCi GI (SO2) (NO3) NO2 F <br /> COD OC otal PO4 otel iQedahl N en (NH3) NO31NO2 <br /> (Total nide AD nlde <br /> afal Metals Sb (Be) (Be) Ca Cd Co Cu Fe Pb Mn N1 e H Na <br /> (Dissolved Metals Ae Sb Be Ca t',d Co Cu Fe b Mn N1 e H Na Hardness Silica <br /> others rx L- - .CA C �,v.mss a r� <br /> Duplicate Sample Nola) <br /> menta � <br /> Sign Date <br /> 811112004 S4SHAREI)OC10OOMadwt%TALandou Logoe%GWSWFORM GIN SW FORM l-9-02 Landau Associates <br />