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v.•v�ynlYlra,11Y13 rYVr%rX JIILLF <br /> '-r k,.' �„ t:.e.t`e-.��.,'�r",�lti�,•[�.+ay�,�+!�'cn=�.1=: ''• J M y,1:f-. <br /> ' Protect Name Ati „ ` 'i '"7 S , <br /> �" `Protect Number_ yg975`-'? o/ <br /> Address Date -� <br /> Weil Lock Number <br /> Well Number Well Integrity I <br /> Development/Purge/Sampler(s) Ambient Condrbons <br /> Pre-Purge DO (mg/L) 1,04 <br /> Screened at WELL VOLUME CALCULATION <br /> Well Casing `Total Well Depth to Unear Feet Gallons Per <br /> Diameter In L Depth fL - Goundwater G — of GW Linear Foot _ 7 Well Volume al <br /> 3 30 017 <br /> x 038 <br /> 4 - _ xx 066 <br /> 1 45 _ x 083 Z <br /> GROUNDWATER SURFACE INSPECTION (BAILER CHECK) <br /> Floating Product (ft) (n) rn�, SheeMrrdescence ="'-}' ` <br /> WATER PURGING PURGE METHODY <br /> ❑ Stainless Steel Bailer RI Submersible Pump, ❑Air Diaphragm Pump, ❑Honda Pump, ❑Qthe r <br /> ' Stagnant Volume <br /> Volumes Purged <br /> g Conductivrty Temp. _Co_lor/Turbidity <br /> ' Purged (gal.) Time pH (ps/umhos) (°C) (other] <br /> ° oINIR -77 <br /> :z 3 /7 <br /> 1 )a 7,5 --:L7- <br /> Q. Zo Recovery <br /> 2 2-0 rSe 7.� SI _Zl �J Rate- <br /> 3 —J)a ` )/'Sl 1 _S66 ZI Fast <br /> 10 4 11 Medium <br /> ----__ Slow <br /> 6 <br /> ' 8 <br /> 9 <br /> 10 — <br /> GROUNDWATER SAMPLING Sampling Equipment: <br /> Water Level Recovery Sample Containers <br /> Depth to GW(ft) No Preservation Method/pH <br /> (1) Initially 14,06 r-4 15 1 liter(L), amber glass <br /> ' (P) After Purging Z_ 40 ml VOA <br /> P - 0 8 (P-E) = /S G� 80% Recovery 500 ml polyprep.,l--te <br /> (S) Before Sampling R, 05 Trip Blank <br /> (P-S) / (P-1) X 100 = tod %Total Recovery <br /> ' Sample DateMme )-23-t,1 1210 Turbidity (NTU) ?ZLO <br /> Calibrate Date/Time 'Z.3blOSoo EH (MEI,0 <br /> ' PURGED WATER CONTAINMENT <br /> Total drums at sde Water Sod Water pump through treatment system <br /> Remarks <br /> i<WDM INI£),VIRWAC7W Su,FhM PugcLdoc <br /> t <br /> �..�Stin-R-.i•ti:V�t4....GYF:tia.-f]'V4>+-1�4-w•vFyr ., �'� <br /> -_sYYSIA,'.-W�KT L i+wy/ �` A ~` ^��rw�N'-��.w4�W ti/�x1�YYss•Wt ATT.lP'bv—w.1T.T'may M�oT-_`1�_� <br />