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' Groundwater Sampling Form <br /> Project Name k/c-,v,2 f.62.1,4SPec b*v Well No I <br /> Project Number Achtw S-ter Well Type Monitor ❑ Extraction ❑ Other <br /> Recorded By a$,L _ Sampled By It iS_L,-- Date y/•' <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter _ TOC Elev R Bailer—Type fe .s�F <br /> u 2-inch ❑ 4-inch ❑ Other ❑ Pump—Type <br /> Well Total Depth (TD, ft below TOC) X02 K ❑ Other <br /> ' Depth to Water EL, ft below TOC) 17 <br /> Depth to free phase hydrocarbons(FP ft below TOC) PUMP INTAKE <br /> Number of well volumes purged ❑ Near Top Depth (ft ) <br /> ❑ 4 �(10 ❑ Other c Near Bottom Depth (ft ) <br /> PURGE VOLUME CALCULATION ❑ Other <br /> Gals 1 fl O ti^ <br /> Z 7- <br /> X <br /> X G t6N X [ = CALCULATED PURGE VOLUME <br /> Water Column Length Vol/Ft No of Volumes <br /> gals <br /> ACTUAL PURGE VOLUME <br /> ' GROUNDWATER PARAMETER MEASUREMENTS Meter Type <br /> Time/Gallons pH Conductivity Temp = deg C Turbidity Color/Odor <br /> 1 Uomhos/crn Tem eq F (NTU <br /> 12+S- t2ds .SGP <br /> {S is <br /> ' isdZ 1, <br /> Comments during well purge <br /> Purge wpter storage/disposal z: Drummed onsite 7, Other <br /> No .dui, <br /> "141 r 4►.�-•, " � ,/C — !h/c rye r6� i�r t <br /> ' WELL SAMPLING <br /> SAMPLING METHOD Date/Time Sampled <br /> Bailer--Type o Sample Port E Other <br /> iGROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> Time/% Recharge pH Conductivity Temp ❑ deg C Turbidity Color/Odor <br /> Uomhos/cm) Tem o deg F NTU <br /> SAMPLING PROGRAM <br /> Sample No Container#/Vol Analysis Preservatives Laboratory Comments <br /> QUALITY CONTROL SAMPLES <br /> ' <br /> Duplicate Sam les Blank Samples <br /> Original Sam le No Duplicate Sample No Type Sample No <br /> Trip <br /> Rinsate <br /> Transfer <br /> Other <br />