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Groundwater Sampling Form <br /> Protect Name k4"rx"" 51� Y'S,wew> - q-- Well No 0,0 <br /> Protect Number Well TypeoMonitor c Extraction c Other <br /> Recorded B`QQ -z-f-- B d"` Date 14- <br /> WELL <br /> 4-WELL PURGING <br /> ' PURGE VOLUME PURGE METHOD <br /> Well casing diameter _ TOC Elev _ -7�- Bailer- Type LFfif►r� <br /> ;,/-2-Inch c 4-inch E Other c Pump - Type <br /> ' Well Total Depth (TD ft below TOC) 2 c Other <br /> ft <br /> Depth to Water (WL, below TOC) _::?'a Sig— <br /> Depth to free phase hydrocarbons (FP ft below TOC) PUMP INTAKE <br /> Number of well volumes purged c Near Top Depth (ft ) <br /> 4 K 1 D c Other c Near Bottom Depth (ft ) <br /> PURGE VOLUME CALCULATION t Other <br /> (0 2 - s/X 3s Gals 1 ft 0 1 3 x/o Fr° "ct'r a <br /> ' - 22 2S gals <br /> 13 G� x G I(,3 X /0 CALCULATED PURG-: VOLUME <br /> Water Column Length Vol IFS No of Volumes _ <br /> Uecc Cass'orrm Me-.*'JL~d .¢�T 7t �o.iLaJJ�� '�� gals <br /> "7-.0 = .SYz t /4 b'S /9 r7 C=w ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENTS Met,- Type Scar+ B„G&Ar <br /> T�melGallons pH I Conductivity Temp r deg C Turbidity Color/Odor a, <br /> ' Uomhos/cm Tem de F (NTU) <br /> a r/ s� <br /> Zo z 5- s n+S (r Z I /i <br /> Zv 45 srs+s�� G 3 i dr 3Z ! G� <br /> { <br /> 2 G 3Y! 13G <br /> Comments during well purge (J r ory TPN- au s, <br /> Purge water storage/disposal Dru r• �d onsite ,( Otner <br /> WELL SAMPLIN I <br /> SAMPLING METHOD DatelTime Sampled W ” oz-- ZZ_3o- 2330 <br /> ' Bader- Typey- 4214le- -5f,64-1—4ft A Sample Port Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type 0001YFV 9� <br /> Time/% Recharge o� pH Conductivity Temp -i deg C Turbidity Calor/Odor <br /> Uomhoslcm Temp I deg F (NTU) I ' <br /> N it o7/ , Tfi./ i5rr <br /> MC iw <br /> SAMPLING PROGRAM <br /> Sample No Container#Nol Analysis Preservatives Laboratory I Comments _ I <br /> ZC-'A,.,6r. / TPf/ uo w n•� � —.ct N _&A"r <br /> i <br /> f I <br /> ' QUALITY CONTROL SAMPLES <br /> Duplicate Sam les Blank Samales <br /> On anal Sample No Duplicate Sam le No _Type_. i Samole No <br /> Trip <br /> ' I Rmsate <br /> _ Transfer <br />