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GROUNDWATER SAMPLING FORM r <br /> PROJECT NAME }c WELL NO: <br /> ,21ffH7AA A <br /> *"RET=WQuXAM ow�oluTCle PROJECT NUMBER. q�- 3 �'� C) TYPE*Monitor_Extraction —Other <br /> CORDED BY SAMPLED BY- _ s(-- DATE d r 1 9 -r- <br /> WELL <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well Casurg Dumter _Bader-Type <br /> 2-nch _4-.h _other Q _I Pump-Type k)�+4 <br /> Well Total Depth rM ft below TOC) a 1 11� _Other-Specify <br /> Depth to Water IWL ft below TOC} } 3L b Hydrocarbon Odors <br /> _YES NO <br /> Water Column Length <br /> No of Wells to be Purged_3 10 Other <br /> Purge Volume Calculation rwatr corer..Lwgdr a mwupBrL No.vale cal..ad Ages vans,.} <br /> 16, s3 x .1- x 7 = S_X1 Calculated Purge Volume ¢ gls <br /> (WCL) (Multlpl.) (No. Vols) Actual Purge Volume as 1 8- ° gls <br /> Muhlpites lCssisV CI&.Qwchool- Oallom)lneat h} I=O-f7 4=066 6=15 8-26 <br /> Groundwater Parameter Measurement: Meter Type f} 3 54 Calibrated Yes No <br /> TIME/GALLONS DTW pH CONDuc P TURBID Ty COMMENTS <br /> (ft) Trorry (NTU) (COLORIODOR) <br /> srmho.lan dee F <br /> 013 ) b 61' 1kAA <br /> o", <br /> 03 1l 6 D3 36 6 F1 ' 1"�- 4 ti 04, Q-04-�, <br /> >f os i l.1 0 1�,y ?�- 6 o 1 <br /> 011 1Sr 0 <br /> �3s1 3.r <br />