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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street . <br /> Santa Cruz,Ca 95060 Well Number: Cr <br /> fzf 2- <br /> (408)459-0718 <br /> PrO;.-i t Number: b-151 <br /> Sample Type: OGraundw r Tr' Blank ODuplicate of <br /> Station Number: I lir'S <br /> Date: '; 1 l-?--1 3 Sampled by: ` <br /> WELL PT TRG-ING <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 /> Subiective Analysis Prior to Pur in PARAMETER EQUIPMENT CALIBRATION <br /> SHEEN Depth to Product Product Thickness <br /> OYes ONo (ft) (ft) pH Meter#: Time: <br /> �MMENTS: Solution pH 7.00 at <br /> OF <br /> Solution pH 4.00 at OF <br /> Solution pH 10.00 at OF <br /> 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 /> Gallons Temp pH Cond. Analysis No. Container preservatives <br /> Removed Time OF (umhos/cm) Required of Type <br /> EPA 601 VOA's <br /> TPH-GBTEX VOA's HCl <br /> TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />