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Birchlechnical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street <br /> Santa Cruz,Ca 95060 Well Number: r <br /> (408)459- 7 z <br /> roject Number: ` rJ 6 Sample Type: O oundwater ripBlank Duplicate of <br /> Station N mber: <br /> ) I <br /> Date: l� / Sampled by: <br /> WELL PiTRGING <br /> C, <br /> PURGE Casing Diameter (inches) 0 T- 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.469 ; <br /> t <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 /> k OOther <br /> f _ x x _ {gallons) <br /> Total Depth Water Level Well Vol. Fac. #of vol.to Purge Calculated Purge Volume I�I <br /> t <br /> Subjective Analysis Prior to Pur2ins? PARAMETER EQUIPMENT CALIBRATION <br /> SHEEN Depth to Product Product Thickness ! <br /> OYes ONo (ft) {ft) pH Meter#: Time: <br /> COMMENTS: <br /> Solution pH 7.00 at OF <br /> I, Solution SH 4.00 at OF <br /> 6 lq h p <br /> Solution pH 10.00 at OF <br /> Sr1T Water Level Meter#: <br /> SAMPLING METHOD <br /> OPVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: <br /> WELL SAMPLING PARAMETERS <br /> 1 <br /> Gallons Temp pH Cond. Analysis No. Container Preservatives <br /> Removed Time °F {umhoslcm) Required of Type <br /> EPA 601 VOA's <br /> TPH-GBTEX VOA's HCl <br /> TPH- Diesel <br /> Amber # <br /> Liter <br /> TOG 5520 BF Amber 142504 ' <br /> Liter <br /> k <br /> M <br /> i <br />