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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> llb Liberty Street <br /> Santa Cruz,Ca 95060 Well Number: �r�V — Z <br /> / <br /> ='? (408)459-071 <br /> Project Number: Sample Type: undwater OTrip Blank ODuplicate of <br /> Station Number: l <br /> Date: Sampled Sampled by: '� B <br /> 12�L— <br /> VVIET-11L, PURGING <br /> PURGE Casing Diameter(inches) O 2" 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1632 0.3672 0.6528 0.626 1.469 <br /> Total Depth of Well 2_D-?—q Initial Water Level: tZD PVRGE METHOD: <br /> -�7 Honda Pump <br /> Total Volume Purged: l Time Elapsed: osable PolyTubing(2 ft} <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(T_) <br /> rr OOther <br /> _ S`LD = ( 2•b x b = 1+ I,3 x = 5' 77 (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 /> SHEEN Depth to Product Pr u Thickness <br /> OYesNo (ft) (ft) pH Meter#: 2— Time: /53b <br /> Solution pH 7.00 7 at�7 y� OF <br /> MMENTS: <br /> Solution pH 4.00^�at °F <br /> Solution pH 10.00 10 atiL-F <br /> Water Level Meter#: /D)7)7 <br /> SAMPLING METHOD <br /> PVC Disposable Bailer Time Sampled <br /> Teflon Bailer (24 hour <br /> ur clock) <br /> OOther: <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp pH Cond. Analysis No. Container preservatives <br /> Removed Time OF (umhoslcm) Required of Type <br /> Z s It 3 EPA 601 VOA's <br /> 3 f�� 3 7 T-73 TPH-GBTEX VOA's HCl <br /> -7.,3L Amber <br /> S (L,35 70 , r 51 TPH- Diesel liter <br /> 3 <br /> 7D - F 7. 377D-F 7. TOG 5520 BF Ambeerr H2SO4 <br />