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l0 3-, 141,9-111 27 uEORESTOPATIQN FAGE 0 <br /> tianuWvuYVAI LH MDNITC HINs VVELL PURC3E/SAMPLING WORKSHEET <br /> Pro1ec.t game '^T+et c.. Prolect Number <br /> ACldress Reg Agency <br /> Well Number ' �' Data r z ff� - - Well Lut.k NUMber, <br /> Samplers) <br /> Slaonant Wall Caaing Total Well lnitlal Uepth to Slagnant lvolu•ne <br /> 1 q_enEri t�1.} I <br /> Calculation ler g,e.4. <br /> Vr�tume $ 3 is Z <br /> 41 3 <br /> 5tegnarrt vv)urne Calculation , <br /> n I y Derlofis Groundwater Surface inspection (baler check) <br /> we„ a <br /> par <br /> ra,h,rg Uneat Floating Product (h) (m) <br /> Diem FrouG(O of an! 01`�'F' a��182rlflrK}peCr3nCa <br /> stbr r tjrreRr 'bot or QsaundVolo- Volume <br /> lAl1 � t9S�pwe.ter K westa, /►/d l717'E Odor <br /> 2 ToealtWea - 00th to oat Remarks C3 ' J. <br /> 1tYessth f } } GW(ft) <br /> 4 i 065 " <br /> B �' Ils -1 <br /> Groundwater Suras M94hod used Pym W� rr)ta{rrrr= <br /> purg[ng <br /> Stainless Steel Faller, Submstslble Pump - gats stared In 55 gal drum,'s) <br /> ' Otheri 2- i!. ts�, - ti Any pr evlous dr urns? Capacity <br /> Stagnant Vdums <br /> Volumes Putg9d Temp ronriuctivity Color/TUrbldity <br /> [veil Time Q1 °Ci O�j v-�1tL'L ..J1 ' sher <br /> 1 124 C_(A2tA4^II <br /> 2 <br /> 8 <br /> GrcurxMeter Water Level ftvetyms�3�� a Contaln_ s <br /> Sampling <br /> How <br /> Depth to GW (ft.) Many? preservatNes7 <br /> (F) Atter purging _zH so tatter arnbor glass - <br /> (i) inittally -14-Slf 40 ml, VOA <br /> ($} Before sarnpilnq ILI.5-t _ Boo ml, pialyprvpytene <br /> 100 b D f� %Total Rerovery <br /> ' m2h n <br /> G IIaME MICHELSON P 1 <br /> 3uL-2c-*'0� llEC� 10 10 TEL 20'92953974 <br />