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Oro <br /> r <br /> APR 22''91 15:39 415 687 9673 HLA <br /> Harding Lawson Assootrl"I GROUND" VAT'ER SAMPLING FORM <br /> Engineers and Geascientists Well No. M VJ-17-- <br /> WeII Type: XMonitor oExtraetion C3 Other <br /> j j `Tra Well Material: PVC 0$t• Steel 0 Other <br /> fob Name debt O Date ._7�iq—$$ --- 'TimeJob NUMW Oo <br /> rded Y SamD'ed by <br /> RecoIl <br /> � rs'S"arunl <br /> EMPIRE <br /> Casing 471ametpr(o to inome); Baiter-Type: <br /> ❑24nch 44noh rrinoll j�tJthar C1 Submetelble. Centrifugal ©gladder;Pump No:_------- <br /> Total Depth of Casing (TD in feet BTOG): ! t 0 Other•Type; <br /> 1Vgter L&41 Depth(WL In feat BTOC): --- W <br /> NumW of MR Volumes to be purged (#Vols) Near 8ottam ©Neat Tap D C?ther <br /> 0 3 04 ❑S ®10 CjCthar Depth to feet(BTOC):_ SC4e9n interval in feet(STOC): <br /> from to <br /> f 1 �.� ll X 1,/ 2 x Y. 0.0408 Il L" �CcJrrJs gaiters <br /> L TE) _W t1 D—4-rtah-ea—)- 1 Vals Calculated Purge Volume <br /> I gallons <br /> i <br /> .Start —stop <br /> E7apaod Initial gem Fina! ppm - <br /> f Unutes nee H Card T N Other_ . - PuamuIns Be an pH mho am T o� Qlher_ <br /> f Purrs in an P mhocicm F �! <br /> kat <br /> ! a. <br /> 10 <br /> 010 <br /> ( ��• Metsr Nos. <br /> f r � ear <br /> observations During Purging (Wali Condition,Turbidiy Color,Odor): - <br /> 4 Discharge Wrier Diaposalt l7 Sanitary Sewer 13Stotm Sewer EYfCtttter <br /> v+ti <br /> 0 Same As Above <br /> ( War-Type:_ C U Grab-Type: <br /> F 0$rlbmersibls E3 Centrifugal O Bladder, Pump No,: Ij Other-Type:- <br /> �'• Sample Series:---- -� <br /> VoiumelCont. Ana! is Re nested Preservatives !ab Comments <br /> t�G 14 CL <br /> R d . <br /> Q qr S <br /> I <br /> §:qk[ TYC.0NTF10L.-§AK4PLE$ <br /> Blank S€mptes ether Sample: <br /> Wplicate Sun les <br /> Ori roil Sam le No. Duplicate Sample No. Type Sample No. T pe Sample No. <br />