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til � Jii - <br /> GROUN©WATER SAMPLING FORM <br /> •FF PROJECT INFORMATION <br /> PROJECT NAME '�JS� hanYJ,-k I� PROJECT NUMBER -i 17-Z 4)�V f WELL NO fVti <br /> PROJECT MANAGER TYPE OF WELL v/- Monitoring Extraction Other <br /> RECORDED BY A-r— 9AMPL`D BY E DATE 2-500 <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METP-tOD <br /> Well sing Diameter <br /> 2-+nch 4-+nc' Other T/ Bailer Type /•2I /,'^ <br /> Pump - Type <br /> Well Total Depth (c feet below Top of Casing,TD Other - Spec fy <br /> Depth to Water �Q L feet betow Top of Casing,WL Hydrocarbon Oder <br /> Water Column Length 4) i feet Yes No <br /> Purge Volumef rCalcufation oN�atter Column Length x Multiplier x No Volumes w Calculated Purge Volume) Y, } <br /> X ` X - _ CalcJated Purge Volume = ' gallons <br /> (WCL) (Multiplier) (Nc VCILmes) Ac•ual Purge Volumegallons <br /> Wfttrer (Casing Diameter ftnc�%esl = Gatlonsllinear foot) 2=017 d—G 66 6= t S 8=26 <br /> I <br /> IGroundwater Parameter 1Aeasurement Meter Type jl 3S Calibrated Yes No <br /> I — <br /> I TIME ELAPSED FLOWRATE DTW pH ECTURSICITY REDOX COMMENTS <br /> 71ME (C-pm) (R) TnncW n d (NTLJ) mV 66 <br /> de F 1�}t;�[i � 1✓�-� <br /> Aok otIf I 1 r 6"ca L �d� I �.�+ 2 1 17,2- I NA <br /> 5-3 L3I 111 7, o -4e!`� <br /> ► 6 =-7 1 (, 18 , I I <br /> ITAWA <br /> l ! ! I I <br /> I I I I I ! <br /> ! I I I ! <br /> I I I I I 1 I I I <br /> I i I I I I a <br /> 1 I 1 i <br /> 1 I I I I t <br /> I I } I ! I <br /> ! I I I I ! <br /> S OCIATES INC. <br /> ENVIR0HA<H7A L,GEOT'ECFINlCAL AND MATERIALS PROFESSIONALS <br />