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�a�lT MONITORING WELL PURGING AND SAMPLING LOG <br /> f <br /> Protect Name <br /> Well No a." — /Project No <br /> S 6 3 <br /> Project Address/City/County <br /> PURGING&SAMPLING[NSTRUMENTATION&METHOD <br /> Water Level Meter(ModeUm) Heron/ ATC-1 Interface Probe(n.&um) <br /> Water Quarry Meter(Modevin) HyDac 1 OAKTON Decontamination Method 3-stage bucket (wash tap rimae pI rinse) <br /> Purging Method X PVC Bailer Vacuum Truck Submersible Pump Other <br /> Sampling Method Teflon Bailer X DEsposable Bailer _Other <br /> BOREHOLE & WELL CASING VOLUME INFORM N <br /> Borehole Diameter(Circle) 8" 10" 12" Casing Diameter(Circle) T' 4" 6" 12" 18" 24" <br /> Borehole Multiplier(BM)Ulonshoot) 081 1.5 195 Casing Multiplier(CM)(gauons/root) 01 065 147 587 132 235 <br /> MONITORING MEASUREMENTS PI JRGINGTAI CUT.ATIONS <br /> Depth to Free Product(feet) 0 Borehole Volumes(BV) <br /> Depth to Water(DTW)(feet) J WC x BM - (BV)(gal) x 15 BV(gel) <br /> Total Well Depth(feet) 79, 66 Casing Volumes(CV) <br /> Water Column(WC)(feet) L d WC x CM ► _ 4 (CV)(gal) x 3 0 CV(gat) <br /> Free Product Thickness(feet) 0 Free Product Purged(gallons) 0 <br /> PURGING DATA <br /> Cum Vol Purged DElectric Conductivity Dissolved Turbidity Odor <br /> Time DTW(ft) (gallons) 7—Temps} pH („or moor) Oxygen(inga <br /> • Purging Start Time <br /> 3 75/ 0 &,9 l 1 , 149 <br /> 1 8 57 l i r <br /> S Total Gallons Purged <br /> 1o'071 Purging End Tlme <br /> SAMPLING DATA <br /> Time Sampled Depth to Water Q Sample Time(DTWs) , <br /> r <br /> Filtered Analytical Parameters <br /> Container Types,Volumes,&Quantities bveno) Sample Preservatives (cross out all�=applicable) <br /> 3 X 40 mL VOAs N Tce and HC1 TPHg / BTEx / MTBE / FUEL 0XY5 <br /> WELL RECOVERY DATA <br /> Maximum Drawdown(DTWm)(feet) Approximate Flow Rate(GPM) <br /> Recovery <br /> 0/6Recove l - (_DTW-DTWs) x 100 Calculation u { <br /> ry (DTW-DTWm) /a Recovery =1 ( ) x 100 <br /> Recovery Type past Slow o <br /> --- /o Recovery= <br /> FIELD PERSONNEL <br /> • ATC Representative(s) <br /> Subcontractor NIA <br /> r ' <br /> Signature Date <br />