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A <br /> GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> f <br /> PROJECT NAME t' PROJECT NUMBERWELL NO <br /> PROJECT ,MANAGER <br /> �.-- TYPE GI; WELL ✓ Manstonng Extraction Other <br /> RECORDE:) oY A SAMPLED BY A-F- DATE Ca3/d4 <br /> � - i <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD I <br /> Wei! asing Diameter <br /> 2-inch 4+nch Other Sailer - Type / I <br /> � ���7 ✓-ump Type ao7Y/�+J <br /> q I <br /> Well Total Depth ___f�L fest below Tap of Casing,TO Other - Spec fy <br /> Depth to Water W feet below Tap of Casing,Wt_ Hydrecart:cn Odors <br /> ( Water Column LenstA—�U_feet <br /> _ Yes No <br /> I <br /> Purse Voiume Caic�rlatien (Water Column Length x Multiplier x No Volumes = Calculated Pt,rge Volume) <br /> N <br /> '41 x 0 1 174x - q , 40 Calc dated Purge Volume = gallons <br /> (WCL) (Multiplier) (No Volumes) Actual Purge Volume gallons I <br /> MuAlolier Casing Diameter ffndhesl = Gallons/4near foot) 2=0 1T 4=QEF) 6=1 5 8=21a <br /> Groundwater Parameter Measurement Meter Type 3LCO alldratea &Yes No <br /> TIME I ELAPSED rLCVVTE OTW pH EC TcnrkP TURBIDITY gECCX COMMENTS <br /> r (ft} mhcstcm (NTU) mV <br /> 10/71 la, 11,14 G '7.1 TI o A NA ! Ciau o <br /> 107-0 I Ol 2 L1 1 I <br /> 1 �� I I 3►s Z< o fit, I I ,� `� � i <br /> 1!�9 I 15 13,70 .off 1 1 „ I <br /> 1 1 i I I <br /> 1 I i I I <br /> I I I I <br /> 1 I I I I I <br /> t I I I I ! <br /> I I I I I ! <br /> I I I I 1 i <br /> 1 I <br /> I I 3 <br /> ENVlAWENTALGENEASSOCIATES <br /> , NICAL ANOMATERIALS PRCFESWCNALS <br />