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' URS Page One of <br /> 2570 Gateway Onto Drive,Suite 300 1 Monitoring Well Sampling Data <br /> Sacramento.CA 95933. Phone:(916)679-2000 <br /> frl Well No.: <br /> Project. cV �J Job No.: <br /> ' Location: (,(Z /'f <br /> Sample Date: . Ar/c/0 Sampled By: '— Vut <br /> ' SamplingNo(s): g(ao S-IF( keviewedBy: Date: y // <br /> qn npling times(s): Weather: lrA,VA; <br /> QC Sample No(s): Ambient Temp.: (T) <br /> QC_Sa nplc Time(s): <br /> WATER ELEVATI N AJ A <br /> Sampling Meth tcated Disposable Bailer Date of Measurement: <br /> ' Method of Measurement- <br /> Well <br /> Well Casing elevation(WCE) ft Depth Sounder No: dd_ <br /> (from rasing lop ns marked) Trardduce7 0 Q 3S <br /> ' 2) Depth to Water Surface(DTW) _ ft k casing Top <br /> (from casing top as marked) A , <br /> 3) Total Depth (2)DTW of Wel] /.L >�•ft <br /> (fmm casing top ea marked) (3)TD Water Surface <br /> ' <br /> rS -4) .Height of waterColwnn (11) ft Or Packer <br /> H <br /> TD—llTW=H (4) <br /> See Level <br /> ' WELLPURGE AND SAMPLING DATA <br /> Single Casing Volwne of Water in Well (CV) �` S welt Diameter(in) Volumlu ear R.M(gal/ft) <br /> (HX V=CV)if V is known,else use CV talc.Below 2 0:163 <br /> �3a 0 <br /> ' Number of Casing Volum5es to Purge(NC) ( c' 2 <br /> _ 5 <br /> 43 <br /> Total Volume of Water to Fur• 2 �. 16 9) <br /> mhe x <br /> (T� D CV=(23.449)x(D/24)j x H <br /> (CV XNC=TV ' <br /> Purge Meth edicated Disposable Bailer <br /> ' Start of Purge(Dat tme <br /> C Turbidity Removed Flow Rate Physical Appearance and <br /> Time Temp V* Cond. y�. /cm) pH's (1VT'Cf)*" (gal) (gpm) Oar Wt Levels <br /> �Ja <br /> /Z I �srb 2 O•�S <br /> /a <br /> i 6• Uy- <br /> 31 3rJ, /S /6Y ys . ys <br /> ' 'f /l, �e 3. y2 7o 2 2 ,a /'�3 9. 0-6 <br /> INSTRUCTIONS AND COMMENTS(Record additional purging end sampling remarks/observations on back) <br /> 'Instrument Number: _ .*Turbidity Meter No.: <br /> Record parameters three limes per well casing volume. Indicate the sample time,mml purge volume,And water level reading as the last row orparameter readings. <br /> evdr oecalAcUMPmien ale AShft,VHng daa silcadae <br /> Janc21l300e ., <br />