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GROUNDWATER SAMPLING FORM <br /> M <br /> PROJECT NAME 11s D WELLNO N11-3 <br /> 116 Og>E9 1»i PROJECT NUMBER Q Li`3 37 TYPE ✓Monitor_Extraction ^Other <br /> CORDED BY. 4 SAMPLED BY 7° DATE. 0322gCo _ <br /> WELL PURGING <br /> URGE VOLUME PURGE METHOD <br /> sit�C.aawq Oiertster B�Jer-Type <br /> Y 2-wreh 4-x+ch other der <br /> -Type lyOh1A <br /> Wall Total Depth (TD ft below TOq--?—'5 G k _Other-Specify <br /> epth to Water(WL h below TOCI 13 Z l Hydrocarbon Odors <br /> �,(� _YES ✓NO <br /> Water Colurnn Length 15" <br /> a of Wells to be Nrgad_3 10 3 Ot7rer <br /> urge Volume Calculation Iwrtar caterm Iorrpdr a Zvi+a No vie . c4kaared Purge voirn ei <br /> 1 $, 4(0 X '). Q.1101 X 3 = --7r q 0 Calculated Purge Volume 3 -7 C1 0 gls <br /> (WCL) (Multlpl ) (No Vols) Actual Purge Volume = 1 ! gis <br /> Wil#plier(C&,shW ala.9achesl a 4alloneltinaar ft) 2ar0 17 4-0 66 6-1 5 8-2 6 <br /> S <br /> roundwater Parameter Measurement: Meter Type S/ 3 5Q Calibrated ✓Yes No <br /> TIME/GALLONS DTW pH COHDUC TEMP TURBIDITY COMMENTS <br /> (ft) T:vmr e4 (NTU) (COLORIODOR) <br /> kc, 13.2) 7 `7 13 Lb 174LJ A <br /> Z ,90 -7, 6 ( Sb Zo, 5 <br /> 9i� t2V -7,-) 43o Z2-p !�� aQ� tz <br /> vJ c L- v i-= N G <br /> 2A D '7 , 7 1'920 21-9 w � � �roujv% S A Y. 2t <br /> 0 2- ! 191,50 -71-7 {4 l V �(1-7 f��1-'� ltak& <br /> qig Z.So 7 .7 I'S 5n z NA, V� <br /> dg3� � rZv 7, ICl/a ,Z t -wxdT� <br />