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' Warding Lawson Associates GROUND-WATER SAMPLING FORM <br /> Engmeenng and <br /> Environmental Services Well No <br /> ob Name ���/" Well Type AMonitor ❑ Extraction C)Other <br /> Well MaterialPVC 13St Steel ❑ Other <br /> Job Number Date — Time — / O� <br /> ' Recorded by Sampled byWELL PURGING' <br /> (Sgnaiwel <br /> E i E 'URGE SIE" HOD <br /> C mg Diameter(D in inches) J Bailer-Type <br /> -inch ❑4-inch ❑6 inch ❑Other (❑`Submersible ❑Centrifugal ❑ Bladder Pump No <br /> /T`o`tal Depth of Casing (TD in feet BTOC) ❑Other-Type <br /> Water Level Depth(WL in feet BTOC) PUMP INTAKE����ING <br /> Number of Well Volumes to be purged (#Vols) ❑Near Bottom ❑Near Top ❑Other <br /> ' ❑3 ❑4 ❑5 010 ❑Other Depth in feet(BTOC) Screen Interval in Feet(BTOC) <br /> SUR E�QE. ME CALCULATt Nt from to <br /> 2 <br /> X X X 0 0408 = —. �� r gallons <br /> ` TD (feet) WL (feet) D (inches) #Vols Calculated Purge Volume <br /> E1E ' 1� � F, #-� -P GEVOUE <br /> ' 69�d Start Stop Elapsed Initial gpm Final gpm gallons <br /> .. <br /> LAj A6 IETER ME I ME T <br /> ' Minutes Since Cond ❑:C Minutes Since Cond ❑°C <br /> Pumping Began pH (µmhos/cm) T❑�F Other Pumping Began pH (µmhos/cm) T❑-F Other <br /> S �a PIKmill" L <br /> 6. c uc o <br /> Z <br /> ' <br /> tw ( p Meter Nos <br /> Observations During Purging (Well Condition,Turbidity, Color Odor) <br /> Discharge Water Disposal ❑ Sanitary Sewer ❑ Storm Sewer XOther GAL. DAUM <br /> ❑ Same As Above <br /> ailer Type S -S ❑ Graf,-Type <br /> ' ❑ Submersible ❑ Centrifugal ❑ Bladder, Pump No ❑ Other-Type <br /> �( { � Sample Series <br /> ' Sample No Volume/Cont Analysis Requested Preservatives Lab Comments <br /> 1 <br /> �00AtCMPL <br /> Duplicate Samples Blank Samples Other Samples <br /> Original Sample No Duplicate Sample No Type Sample No Type Sample No <br /> ' <br /> R4064 CSCE Corr WE Fro Cour Crwwr 0746 <br />