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} 1F <br /> Sa�lT MONITORING WELL PURGING AND SAMPLING LOG <br /> • We11No jWW_S <br /> Project Nameect No Cf/ <br /> 0- i►C ProtJ?, 14 <br /> I37 3, OCD Z <br /> Project Address/City/County . C <br /> PURGING & SAMPLING INSTRUMENTATION& METHOD <br /> Water Level Meter(M.&mD) Heron/ ATC-1 Interface Probe(Modalm) <br /> Water Quality Meter(Modwiri) HyDac / OAKTON Decontamination Method 3-stage bucket (wash tap rinse DI rinse) <br /> Purging Method X PVC Bader Vacuum Truck Submersible Pump Other <br /> Samphng Method Teflon Bailer X Disposable Bailer Other <br /> BOREHOLE &WELL CASING VOLUME INFORMAA4QN <br /> Borehole Diameter(Circle) 8" 10" 12" Casing Diameter(Circle) 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)(gailonsft ot) 0.81 15 195 Casing Multiplier(CM)(saatoeshnot) I d 16 0 65 1.47 587 132 235 <br /> MONITORING MEASUREMENTS PURGIN CULATIONS <br /> Depth to Free Product(feet) 0 Borehole Volumes(BV) <br /> Depth to Water(DTW)(feet) CP aq 67-0 WC x BM = (BV)(gal) x 15 BV(gal) <br /> Total Well Depth(feet) -7 Casing Volumes(CV) <br /> Z ff/ <br /> Water Column(WC)(feet) ©Y WC x CM / _ (CV)(gal) x 3 0 CV(�) <br /> Free Product Thickness(feet) 0 Free Product Purged(gallons) 0 <br /> PURGING DATA <br /> Cum Vol Purged �f Electric c ConductivityDissolved <br /> Turbidity Odor <br /> M.66- <br /> pTime DTW(e) (gallons) Temp� pH (u or in mhos) Oxygen(mgt.) (NTLD (Y-No) <br /> . CK3•66- Purging Start Time <br /> J &.71 D� <br /> o ,ev- W, S 69 <br /> ai93 <br /> Total Gallons Purged <br /> Purging End lime <br /> SAMPLING DATA <br /> Tune Sampled ? ' : QS Depth to Water®Sample Time(DTWs) <br /> Filtered Analytical Parameters <br /> Container Types,Volumes,&Quantities (ice"o) Sample Preservatives (cross-out all hm applicable) <br /> 3 x 40 mL, VOAs N Ice and HC1 TPHg / BTEX / MTBE / FUEL OXYs <br /> WELL RECOVERY DATA <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> Recovery <br /> %Recovery =1_ (DTW-bTWs)(DTW-DTWm) x 100 Calculation %Recovery=1 { X100 <br /> Recovery Type /o <br /> Fast Slow a <br /> _..— Recovery= <br /> FIELD PERSONNEL <br /> ATC Representative(s) <br /> Subcontractor N/A <br /> Signature Date <br />