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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street <br /> Santa Cruz,Ca 95060 <br /> (408)459-0718 well Number: W- <br /> (�roject <br /> �Number: 16— <br /> Sample Type: Groundwater OTrip4Blank ODuplicate of <br /> Station Number: / 3A %71)0�Date:/ /��3Sampled by: <br /> wEILALI PURGg1vG <br /> PURGE Casing Diameter (inches) 2" O3" 04" 04.5" 06" O ' <br /> VOLUME Volume Factors: <br /> 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of well �• l Initial Water Level: 1 Yl4 <br /> PURGE METHOD: <br /> 400p, <br /> onda Pump <br /> Total Volume Purged: Time Elapsed: sposable PolyTubing�_ft) k <br /> eed Winch <br /> ODisposable PVC Bailer(s)(__) <br /> Calculated Purge Volume: OOther <br /> 33-7 - /9' x' x C = f <br /> r ! 2J/ x %3 7, 7. (gallons) � <br /> Total Depth Water Level Well Vol. Fac. #of vol.to Purge Calculated Purge Volume <br /> Subjective Analysis Prior to Purging PARAMETER EQUIPMENT CALIBRATION i <br /> SHEETJ, De to Product Product Thickness j <br /> OYes No (ft) — (ft) ph Meter#: 2. Time: ° <br /> U COMMENTS: Solution pH 7.00 7 at F <br /> Solution pH 4.00 <br /> �U ! r4 C?Cq Solution pH 10.00 at OF <br /> Water Level 1v4eter#:�Lo—�jK7 - <br /> SAMPLING METHOD <br /> Z)WVC Disposable Bailer Time Sampled <br /> O flon Bailer (24 hour cl k) <br /> 00ther: 17 <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp H Cond. Analysis No. Container preservatives <br /> Removed Time OF P (umhoslcm) Required of Type <br /> l7Vo (95t 7•Z-7 .� :� PA 6C1 3 VOA's <br /> + TPH-GBTEX VOA's HCl <br /> 3 l i b �( 7 .2► a Z 3 <br /> ? �7 O' ! 7 f 1 1 q ' b� TPH- Diesel j �rr <br /> • / TOG 5520 BF Amber <br /> H2SO4/7 ? <br /> I � - <br />