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GROUNDWATER SAMPLING FORM <br /> { <br /> pIOJECT 1NFCR ATtQN <br /> FRCJECT NAME r S PROJECT NUMBER • 2 1006? WELL NO 1 � E <br /> PROJECT MANAGER iki TYPE OF WELL Monitonng Extraction Other <br /> RECORDED BY 1 SAMPLED BY DATEM o 1 C7 <br /> WELL PURGING [NFORMA7110N <br /> PURGE VOLUME PURGE METHOD <br /> Well Ca <br /> vKg Diameter _ n 4 <br /> 2-inchInch Other der - Type 7 " <br /> � <br /> y� Pumo - Type <br /> Well i atal Qepth 55 '"7J feet below Tap of Casing,TO Other - Soec;fy <br /> II <br /> Depth to Water qb ' r�f <br /> t feet below Too of Casing,WI- Hygm an Odors <br /> Yes No <br /> Water Column Length t a teet <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> `•i 11^ X -4X :3 – `�'o Calculated Purge Volume = ` _gallons <br /> --(W--CFL))— (Multiplier) (No Volumes) Actual Purge Volume = S` C2 gallons <br /> �Itiitioller.(Coal• oratnet�r chss =v�i3llraiasdtlssear-ro �,=ET�"�' 4=�.6C f:��8 ,S��E � .-> <br /> Groundwater Parameter Measurement- Meter TypeY51 3SOO Calibrated Yes—No <br /> TIME E:APSEO F-aWR+TE DTW pH EC TUReICITY RECOX COMMENTS <br /> TIME (GPM) (ft} anhowcm ddeg C R ru) MV � <br /> qv N21 <br /> I 6 ' q -) l I IS�r IA� 7 <br /> oS7_ CS,Acl,I �---.— �, $� o•Z f zap x 1 � 4, o <br /> ro <br /> l 15 15 o-z0 za �0 if <br /> I I I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> 4 <br /> I I <br /> I <br /> V=ASSOCIATS INC. <br /> p.rM0NA#9WAL,aSCTECHMCAL AND HATER ALS PR0F!~+-'1'C8AL3 <br />