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' Groundwater Sampling Form <br /> Protect Name Well No -llsl - <br /> Protect Number AEA"iep Well Type AMonitor ❑ Extraction o Other <br /> Recorded By Sampled By Date 3-210-0/ <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing diameter TOC Elev 1- Bailer-Type Pc � � �scr3cC <br /> pK2-Inch e 4-Inch o Other L Pump-Type <br /> Well Total Depth (TD, ft below TOC) 159 L Other <br /> ' Depth to Water(WL, ft below TOC o-zu— <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 z�Other 3 74 ❑ Near Bottom Depth (ft) <br /> ' PURGE VOLUME CALCULATION ❑ Other <br /> Gals lft .43 <br /> als <br /> /Z X /1,3 X J — CALCULATED PURGE VOLUME <br /> ' Water Column Length Vol IFI No of Volumes <br /> als <br /> ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENTS Meter Type <br /> Time/Gallons pN Conductivity Temp ❑deg C Turbidity Color/Odor <br /> (Uomhoslcm) Tem de F NTU <br /> Comments during well purge <br /> Purge water storage/disposal ❑ Drummed onsite j Other <br /> ' WELL SAMPLING <br /> SAMPLING METHOD Date/Time Sampled <br /> Bailer-Type 9� 1stE /�E /3 5/p Sample Port o Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type '2rW" 88�v�5 <br /> Time!% Recharge pH �Ccnductivity Temp ❑ deg C Turbidity ColorlOdar <br /> mhoslcm Tem Ede F NTU <br /> ' loo o @ <br /> SAMPLING PROGRAM <br /> Sample No Container#Nol Analysis Preservatives Laboratory Comments <br /> 2 a� i3iF� <br /> QUALITY CONTROL SAMPLES <br /> ' Du licate Samples Blank Samples <br /> original Sam le No Du licate Sam le No Type Sam le No <br /> Tri <br /> Rinsate <br /> Transfer <br /> Other <br />