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GROUNDWATER SAMPLING FORM <br /> �r_. :'>PROJECT;fiVF.ORMATCOir! <br /> PROJECT NAME:S 17,A.iTA ( MILLPROJECT NUMBER: WELL NO, <br /> PROJECT MANAGER: TYPE OF WELL: ✓ Monitoring Extraction Other <br /> RECORDED BY: SAMPLED BY: f� DATE. eq <br /> »: WELL. PURGING INTOE MATION... ', <br /> PURGE VOLUME PURGE METHOD <br /> Well Casing Diameter <br /> 2-inch flinch// Other Bailer - Type <br /> Lvv <br /> Well Total Depth 2 YJ feet beiow Top of Casing,TD Pump - Type } jj�J <br /> Other - Specify <br /> Depth to Water r feet below Top of Casing,WL Hydrocarbon Odors: <br /> Water Column Length I�'Cep feet —LzYes No <br /> Purge Volume/Calculation (Water Column length x Multiplier x No.Volumes = Calculated Purge Volume) <br /> f S' C� X �C. X -3 = 37 r Calculated Purge Volume = `J 7' allons <br /> (WCL) (Multiplier) I (No.Volumes) Actual Purge Volume gations <br /> ,,,Multi Iter:Ca§i :_Digi etef ftiel7es.:,;Gal{atislRear`.foot Zy 6aT.... ' M66..,:t7. Vs . . . .. l <br /> Groundwater Parameter Measurement: Meter Typ �? t Calibrated:✓Yes_No <br /> T1ME ELAPSED FLOWRATE DTW pH EC -LEMP TURBtotrr REDOX COMMENTS <br /> TIME (C°PNO (ft) Wnhoslom deg (NTU) mV <br /> C5 27 <br /> L i <br /> CC)C.—1 ti r WO U r ® C r <br /> Ile <br /> 09/ 7 CZ t 'TQK2 zC: <br /> (rl r✓C+ 2(r �'tc' ck <br /> \TAKAssocwn INC. <br /> ENVIRONMEWAI,GEOTECHNICAL AND MATERIALS PROFFSMOHALS <br />