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Na.ding Lawson Associates GROUND-WATER SAMPLING FORM <br /> • - Engineering and <br /> Environmental Services ) <br /> Well No <br /> Job Name _ f�/ Well Type XfMonitor ❑ Extraction ❑Other <br /> Well MaterialVV <br /> ❑St Steel ElOth <br /> Date e <br /> illopuou Number D U Time <br />' Recorded by Sampled by <br /> 'WELL-VUR <br /> Y4 aT <br />' PURCE V LUME <br /> XS'ng Diameter(D in inches) Bailer Type <br /> 2-inch ❑4-inch ❑6-inch ❑Other ❑Submersible ❑Centrifugal ❑ Bladder, Pump No <br />' Total Depth of Casing(TD in feet BTOC) Z 2, 6 0 ❑Other-Type <br /> Water Level Depth (WL in feet BTOC) � � <br /> Number of Well Volumes to be purged(#Vols) PUMPINTA .^ET' tNG <br /> ❑3 ❑4 ❑5 ❑ 10 ❑Other Q Near Bottom ❑Near Top 0 Other <br /> Depth in feet(BTOC) Screen Interval in Feet(BTOC) <br /> _PURGE VOLUME CALCULATION from to <br /> 2 <br /> r 1,413 - 1,362 1 X X S7" X 0 0408 = 2-.3 _ _ gallons <br />' l TD (feet) WL (feet) I D(inches) #Vols Calculated Purge Volume <br /> ±UROE TIMEDIRGE R�Att- A� <br />' r 4)` � Start Stop Elapsed Initial gpm Final gpm gallons <br /> FIEL1 f�ARAMETER WASUI 1I <br /> Minutes Since Cond ❑aC Minutes Since Cond ❑oC <br />' Pumping Began pN (µmhos/cm) TU-F Other Pumping Began pW (µmhos/cm) T El�F Other <br /> c� sT ? 2 -b 6 U �- <br /> t ,d 6 <br /> ( G <br /> K G X i �L Z.I Meter Nos <br />' Observations During Purging (Well Condition, Turbidity, Color, Odor) <br /> Discharge Water D.isposal ❑ Sanitary Sewer ❑ Storm Sew <br /> yEer ��P��OtherOa� � r� <br /> WIE <br />' 1'SAMPLINq METH-015 ❑ Same As Above <br /> Bailer Type J ❑ Grab-Type <br />' ❑ Submersible ❑ Centrifugal ❑ Bladder, Pump No ❑ Other-Type <br /> SAMP NG DI 't`RI$(}I I{ +, Sample Series <br /> Sample No Volume/Cont Analysis Requested Preservatives Lab Comments <br /> uvP <br /> 1 <br /> QUALITY CONTROL SAMPLES <br /> ^ Duplicate Samples Blank Samples Other Samples <br /> Original Sample No Duplicate Sample No Type Sample No Type Sample No <br />' R1_004NIY <br /> o�4 OFFICE COPY wE FIELD COPY CiA1MRY 0748 <br />