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Groundwater Sampling Form <br /> Protect Name rRl rw Q;1 f gw~ Well No "W- 1 <br /> Protect Number Well Type-$Monitor c Extraction -- Other <br /> Recorded B eAt. Sam led By ''8natsc-eL Date t2-z� <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter TOC Elev Je- Bailer—Type <br /> 1K 2-inch c 4-inch c Other c Pump—Type <br /> Well Total Depth (TD, ft below TOC)__6L7-- ❑ Other <br /> ' <br /> Depth to Water(WL, ft below TOC) W( <br /> Depth to Free phase hydrocarbons(FP, ft below TOC) PbMP INTAKE <br /> Number of well volumes purged ❑ Near Top D (ft ) <br /> e 4 ❑ 90 c Other c Near Bottom Depth <br /> PURGE VOLUME CALCULATION ❑ Other <br /> Gals/ft o Ib3 <br /> 4 3gals <br /> X iw3 X CALCULATED PURGE VOLUME <br /> Water Column Length Vol/Ft No of Volumes <br /> gals <br /> 2.3"/Vat ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENTS Meter Type <br /> Time/Gallons pH Conductivity Temp z deg C Turbidity Color/Odor <br /> (Uomhoslcm Tem yde F (NTU) <br /> + i2-ti' G Tr 3h +-i 'v <br /> o Z J 2 i 6 Y} t'3 6,7, <br /> - t o plc, z 9 &3 4 - <br /> Comments during well purge <br /> Purge water storage/disposal 7, Drummed onsite v Other <br /> WELL SAMPLING <br /> SAMPLING METHOD DatelTime Sampled iz , oo EIp,q; <br /> Bailer—Type Ft- 1>, POC PCU:' P Sample Port F_ Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> Time/%Recharge pH Conductivity Temp :: deg C Turbidity Color/Odor <br /> rs (Uomhoslcm) Tem t-de F NTU <br /> ' G 117 to a G3 <br /> SAMPLING PROGRAM <br /> Sample No Container#Nol Analysis Preservatives Laborato Comments <br /> vA ik4 Kct- <br /> QUALITY CONTROL SAMPLES <br /> Du licate Samples Blank Samples <br /> Original Sample No Duplicate Sample No -Tye Sample No <br /> Trip <br /> Rinsate <br /> Transfer <br /> Other <br />