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Page Z of <br /> GROUND WATER SAMPLE COLLECTION LOG <br /> w v✓ Sample Location or, <br /> �Protect Name .� <br />' Protect No C¢ 2?r41 Well ID (attach map if necessary) <br /> Request-for-Analysis Control No Date and Time Collected 117-Z- - 171 ! • -57 M <br /> Chain-of-Custody Control No Sample Collected by <br /> Sample No Checked by(Office)/Date V <br /> EQUIPMENT <br /> Purging MethodlEquipment � <br /> Sampling Equipment/ID No <br /> 6 ' Diameter - 1 5 gal/ft 4" Diameter = 0 67 gallft 2 • Diameter = 0 17 gal/ft <br /> PURGING INFORMATION <br /> Casing ID (a) (in ) 2* Unit Casing Volume(b) tJ•l�9��IoMs 'F� { ) <br />' Depth to Well Bottom (c) r { ) Depth to Water(d) t51-47 <br /> Length of Static Water Column in Casing (e) a (c) (d) = I-C-1-1 - 15,.3 ----�--- { ) <br /> y - q-`.l ( ] <br /> Casing Water Volume (f) _ (b) x (e) = oxi 1^11.mss_ x q4t f{' '- 1. 11117 J.rl ahs ( } <br /> Casing Volumes - 42 _. _ x (f) � Sr 411o n s ( ) <br /> Volume Purged Temp. Conductance Time Water Description pH <br /> { ) ( ) ( ) (ColorLTurbidity.Odor,Oil) <br /> I allans 27-.4a 'U 1 y 5 ►��w 11valor shten 't v <br /> -&7.,(0 1ZOW .05" <br /> 5 2ti7 !lq?� •v <br /> 1 <br />' Total Volume Purged "• o 11:5 <br /> Time Purged Dry(YIN) O <br />' SAMPLE PACKAGING <br />' Container(s) Type Filtered Preservatives Parameters <br /> and Volume (Y/N) <br /> cl c4h ler+c b v*l <br />