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' Harding Lawson Associates GROUND-WATER SAMPLING FORM <br /> Engineering and 14n� <br /> _ Environmental Services Well No I <br /> Well Type Monitor C3 Extraction ❑Other <br /> Job Name C'� <br /> f Well Material PVC L3 St Steel ❑ Other <br /> Job Number—I Date Time <br /> ' Recorded by Sampled by <br /> (S,gnaNrel f�,"Isl <br /> WELL PURGING <br /> ' PUR EG V4_LUM �PUFCGE METHO6 <br /> .Casing Diameter(D in orches} Bailer-Type P V C <br /> 2 inch C]4-inch ❑6 inch ❑Other ❑Submersible ❑Centn ugal ❑Bladder Pump No <br /> ' Total Depth of Casing(TD in feet BTOC) ❑Other Type <br /> Water Level Depth (WL in feet BTOC) ]��s=T M , <br /> PUMP INTAKE SETTING <br /> Number of Well Volumes to be purged(#Vols) <br /> ❑3 ❑4 05 ❑ 10 ❑Other ❑ Near Bottom ❑Near Top ❑ Other <br /> _ Depth in feet(BTOC) Screen interval in Feet (BTOC) <br /> PURGE VOLUME CALCULATtDN from to <br /> LJ 3 . _... X _ X X 0 0408 = L gallons <br /> ' TD (feet) WL(feet) J D (inches) #Vols Calculated Purge Volume <br /> ;PUaGETIMEJ PURGE RATE ¢ACTUAL,PURGE VQLUMF_ <br /> S Start Stop Elapsed Initial gpm Final gpm gallons <br /> FIELD PARAMETER MEASUREMENT <br /> ' Minutes Since H Cond T©°C Other Minutes Since Cond T Other <br /> C2°C <br /> Pumping Began p (µmhos/cm) ❑°F Pumping Began p (l-Lmhos/cm) El°F <br /> .C6 6 Lk Ir �� O <br /> U <br /> G c�C f <br /> ' ( <br /> S-9 v G Meter Nos <br /> Observations During Purging (Well Condition,Turbidity, Calor Odor) <br /> Discharge Water Disposal ❑ Sanitary Sewer Z) Storm Sewer Other U� <br /> ' ry WKIL SAMPLIN n Y f t r r * * a <br /> SAMPLING ItJtETHE3I3 ❑ Same As Above <br /> Bailer-Type ❑ Grab-Type <br /> ' ❑ Submersible ❑ Centrifugal ❑ Bladder, Pump No ❑ Other Type <br /> aS%�I�fPLI G DISTRI1131 Sample Series <br /> ' Sample No Volume/Cont Analysis Requested Preservatives Lab Comments <br /> 1 <br /> QUALITY, CONTROL SAMPLgS <br /> Duplicate Samples Blank Samples Other Samples <br /> Original Sample No Duplicate Sample No Type Sample No Type Sample No <br /> RL004 oFFIC3PY WHITE FIELD COPY CMASY 0746 <br />