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- WelllPiezo ID <br /> Ground Water Sample Collection Record <br /> 1 <br /> Client �J4 �� Date %�- -L)y <br /> Project No - 7 Time Start am/pm <br /> Site Location _ I'd r c4 2tg I Finish am/pm <br /> Weather Conds Collector(s) _^r <br /> WATER LEVEL DATA (measured from Top of Casing) Well Piezometer ❑ <br /> a Total Well Length r��'_ c Casing Material VL- e Length of Water Column (a-b) <br /> b Water Table Depth Y2 d Casing Diameter � f Calculated Well Volume(see back) 103 <br />' WELL PURGING DATA <br /> a Purge Method 12- <br /> b <br /> Zb Acceptance Cntena defined(from workplan) <br /> -Minimum Required Purge Volume(@ 0 well volumes) <br /> -Maximum Allowable Turbidity NTUs <br />' -Stabilization of parameters % <br /> c Field Testing Equipment Used Make Model Serial Number <br /> f#nr 1 1.-abL/—z 32 57-/ --- <br /> id Field Testing Equipment Calibration Documentation Found in Field Notebook# Page# <br /> Volume Spec Cond. <br />' Time Removed al T' CIF pH (umhos) Turbidity NTUs) DO Color Odor Other <br /> c a 4" <br /> F <br /> • &307-5'7 Ly <br /> r26 c t <br /> E ���1 r N'1 �✓t� <br /> e Acceptance criteria pass/fail Yes No NIA <br /> Has required volume been removed ❑ ❑ <br /> Has required turbidity been reached ® ❑ ❑ <br /> Have parameters stabilized ❑ ❑ ❑ <br /> If no or NIA-Explain below <br /> SAMPLE COLLECTION Method <br />' Sample ID Container Type No of Containers Preservation Analysis Time <br /> Om <br /> LS-10- <br /> Z a <br /> Comments '0fQ , 5 <br /> Signature LJ Date 2 <br />