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GROUNDWATER SAMPLING FORM <br /> • 4 :':PROJECT.INFORMATION <br /> PROJECT NAME:161j _�Q.i�zt_ CO PROJECT NUMBER: WELL NO. <br /> PROJECT MANAGER: b A TYPE OF WELL: -Z— Monitoring Extraction Other <br /> RECORDED BY: Q F SAMPLED BY: /4 _ DATE: 12Q3 d <br /> WELL;':PLIRGI NG i NFORMATI ON <br /> PURG VOLUME PURGE METHOD <br /> Well sing Ciameter <br /> 2-inch flinch Other Gle-Bailer - Type <br /> - <br /> Well Total Depth i feet befow Tap of Casing,TO Pump TypeOther - Specify <br /> Depth to Water 14 ` feet below Top of Casing,WL Hydro rbon Odors: <br /> Yes Na <br /> Water Column Lengih�+�feet <br /> Purge Vottume Calculation (Water Column Length x Multiplier x No.Voiume�sy= Calculated Purge Volume) <br /> �u+ i 7 X O rX = 1 1 Calculated Purge Voiume = allons <br /> (WCL) (Multiplier) (No.Volumes) Actual Purge Volume = gallons <br /> :Wtiblier:< Casf Diame#er;: ft�c#les Gailonsiliiiearfno#} 2::=:f�.t7;, 4 4.66>si 6f. 1:i5;>7�`8=:2:6 <br /> Groundwater Parameter Measurement: Meter Type/S! 35W Calibrated:_Yes^No <br /> TIME JELAPSED FLOWRATE I OTVV pH EC TUREO[ry RECOX COMMENTS <br /> TAME (GPM) (ft) annoslcm d (ITU) mV <br /> r <br /> Z 7�— Or 1 Ck 2—L4.q4 Zir i a5 2—c?1�? 4 <br /> 0 rS'4 Q F7 xE '� <br /> I <br /> _"TAN <br /> I I , <br /> I I I <br /> I I I I I <br /> I <br /> I I <br /> I i <br /> ASSOCIATES M. <br /> E HONMEMrAL,GEOTECHNICAL AND MATERIALS PPOFESMONALS <br />