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GROUNDWATER SAMPLING FORM <br /> SwffH PROJECT NAME 1< 0 - K WELL NO W <br /> 4L'+QoatsgoaipoRArtOf1 PROJECT NUMBER. l y - 3 3 4 - 6 i Evt) TYPE XMOnttor_Extraction _Other <br /> RECORDED BY- A S' SAMPLED BY A S'�..- DATE <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well Casing Dramter _Bader-Type <br /> 2-inch _4.wuh _other Z Pump-Type Ht mJA <br /> Wag Total depth(TO ft below TOC) 3,4 —Other-Specrty <br /> Depth to Water IWL ft below TOCI ! til Hydrocarbon Odors- <br /> -YES NO <br /> Water Column Length <br /> No of Wage to be Purged_3 10 —4—Other <br /> Purge Volume Calculation(Wotar clears,Langth x 1Wrwfiw it No vols . Calculated Purge vokane) <br /> - _11. 3'Z X . 1-1 X 3 = Fr' Calculated Purge Volume ee ,.. —91S <br /> (WCL) IMUltipl.)� (No. Vols) Actual Purge Volume gig <br /> htultIP111-Icaaing On-Onchea] *u 4axorm/19near ft) 280.47 4=0 66 U-1 5 8=2 6 <br /> Groundwater Parameter Measurement: Meter Type Ys'' ?Sm t. Calibrated.�Yes No <br /> TIME/GALLONS DTW pH CONDUC T TURBIDITY COMMENTS <br /> (ft) nvrry da (NTU) (COLORIODOR) <br /> rnmhoalan deo F <br /> 6 a.-.v %A ® G�,,� <br />.AL h) I,-t> 37 b I D-t-r a, <br /> Q)9 14 o 1 3 1-,,) 0 &ON 1 Lsf'r Norp_ <br /> o-A <br /> 133G f y3 <br />