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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> ' 116 Liberty Street <br /> Santa Cruz,Ca 95060 <br /> 10 <br /> (408)459-0718 Well Number: <br /> �'roject Number: /0 134 Sample Type: OGroundwater OTrip Blank uplicate of /r'! <br /> Station Number: 11113 �Q is P <br /> Date:- /E.3 Sampled by: /� C <br /> wET-11L, PURGzzvG <br /> PURGE Casing Diameter (inches) O 2" 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 <br /> Total Depth of Well Initial Water Level: PURGE METHOD: <br /> O Honda Pump <br /> Total Volume Purged: Time Elapsed: ODisposable PolyTubing(_ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(__) <br /> OOther <br /> - = x = x — (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 <br /> SHEEN Depth to Product Product Thickness <br /> OYes ONo (ft) (ft) pH Meter#: Time: <br /> �.r. COMMENTS: Solution pH 7.00 at OF <br /> � r! , Solution pH 4A0 at OF <br /> e <br /> v W Y Solution pH 10.00 at OF <br /> Water Level Meter#: <br /> SAMPLING METHOD <br /> Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp pH Cond. Analysis No. Container <br /> Ttme preservatives <br /> Removed °F (umhos/cm) Required of Type <br /> EPA 601 VOA's <br /> TPH-G/BTEX 3 VOA's HCl <br /> TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />