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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street 'I <br /> Santa Cruz,Ca 95060 Well Number: i1( <br /> (408)459-0718 <br /> Pr6f,ct Number: — 1 51 Sample Type: oundwater OlLrip Blank ODuplicate of <br /> Station Number: 1119S <br /> Date: 5 /1'Z/M� Sampled by: [ <br /> WELL PURGING <br /> PURGE Casing Diameter (inches) 2�� 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1 32 0.3672 0.6528 osz6 1.469 <br /> Total Depth of Well ZZ -,5 Initial Water Level: b'Z-5' PU4GE METHOD: <br /> 7onda Pump <br /> Total Volume Purged: l Time Elapsed: posable PolyTubing�_ft) <br /> eed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)( __ _) <br /> �y <br /> rr � � rr �/ OOther V <br /> ZZ • 1 - 8 .2.5 = ��"Zb x ' Ib = 2.20 x = 6 • (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 /> SHEER Dept to Product Pro t Thickness r� J 53 <br /> Oyes o (ft) � (ft) pH Meter#: f C. Time: / <br /> Solution pH 7.00 7 at 7 OF <br /> MMENTS: <br /> - Solution pH 4.00 y at 7 OF <br /> Solution pH 10.00 Ib at OF <br /> Water Level Meter#: !a 3 3 7 <br /> SAMPLING METHOD <br /> VC Disposable Bailer Time Sampled <br /> O flon Bailer (24 qo� cl k) <br /> OOther: I <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp pH Cond. Analysis No. Container preservatives <br /> Removed Time OF (umhos/cm) Required of Type <br /> Z 024 70 - 1 7,67 S Z EPA 601 VOA's <br /> V 10 68. 7 7, 5 1, 35 2 -TPH-G/BTEX VOA's HCl <br /> 7 [ � f 6 � . S S C , 3 7 TPH- Diesel ALiterr <br /> ,j <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br /> I <br /> I <br />