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' Pae toof 417 <br /> g �� <br /> GROUND WATER SAMPLE COLLECTION LOG <br /> vProject Name I ✓ rM rw Sample Location or <br /> ' Project No 22$ Well ID (attach map if necessary) �Ll V4 <br /> Request-for-Analysis Control No Oate and Time Collected: IV 2- q <br /> Cham-of-Custody Control No Sample Collected by 1�✓ <br /> Sample No Checked by (Office)/Date <br /> ' EQUIPMENT <br /> Purging Method/Equipment <br /> Sampling Equipment/10 No - .,_I SF v��ln L'i IPA . <br /> ' 6 Diameter A 1 5 gal/ft 4" Diameter 0 67 gal/ft 2" Diameter a 0 '17 gal/ft <br /> ' PURGING INFORMATION <br /> Casing ID (a) (in ) 1- ' Unit Casing Volume (b) b• !7 w�ieN3 'r ( ) <br /> Depth to Well Bottom (c) Depth to Water(d) t5.+I -rF ( ) <br /> Length of Static Water Column in Casing (e) - (c) - (d) Z3' ltr-+S-' - 11'•717'�'f' ( ) <br /> Casing Water Volume (f) (b) x (e) _ 179wllorsl{'f x o,-7'b -r F- , Z.17z.d sns ( ) <br />' Casing Volumes y t X (f)_ , 7 A01 uvms ( ) <br /> Volume Purged Temp. Conductance Time Water Description pH <br /> ( ) ( } ( } (Color,Turbidity.Odor,Oil) <br /> 40 o orslnuy -I- 11$,v'I Y <br /> 5, yo.y 1,7.f <br /> 'Y �..a.Y t �� 1 • la{ <br /> Total Volume Purged Tirrse Purged Ory(YIN) O <br /> SAMPLE PACKAGING <br />' Container(s) Type Filtered Preservatives Parameters <br /> and Volume (Y/N) <br /> i <br />