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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street <br /> Santa Cruz, Ca 95060 <br /> f (408)459-0 8 Well Number: <br /> Prot Number: `� Sample Type:XGroundwater OTrip Blank ODuplicate of <br /> Station Number: <br /> Date: 5 / 1 -7 1 q Sampled by: at�� <br /> WELL PURGING <br /> PURGE Casing Diameter (inches) 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: A012 0.3672 0.6528 0.826 1.469 <br /> Total Depth of Well s 2- Initial Water Level ! 1 PJJRGE METHOD: <br /> Honda Pump <br /> Total Volume Purged: Time Elapsed: isposable PolyTubing( Z-7—ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(___) <br /> I OOther 5, <br /> x t b = x 3 = J�(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 /> SHEE Deth to Product Pro ct Thickness <br /> OYes o (ft) (ft) pH Meter#: �� 2-- Time: S3 <br /> Solution pH 7.00 7 at ) V OF <br /> MMENTS: Solution pH 4.00 at °F <br /> Solution pH 10.00 at �—°F <br /> Water Level Meter#:�b_33.7 <br /> SAMPLING METHOD <br /> VC Disposable Bailer Time Sampled <br /> eflon Bailer (24 spur clock` <br /> OOther: V <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp Cond. Analysis No. Container <br /> Removed Time OF pH (umhos/cm) Required of Type Preservatives <br /> 71 k/?— b2 EPA 601 3 VOA's <br /> I6 7 x 67, 3 7 ' 3 / t36 �TPH-GBTEX 3 VOA's HCl <br /> I TPH- Diesel r Amber <br /> ' Sb 6 �, 7' 3 3 11 ,3 Z I Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />