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Harding Lawson Associates GROUND-WATER SAMPLING FORM <br /> _ Engineering and <br /> Environmental Services Well No <br /> ob Name ��, <br /> Well Type Monitor ❑ Extraction ❑Other <br /> 1010b <br /> Well Material *PVC ❑St Steel ❑ Other <br /> Number_ d Date Time <br />' Recorded by Sampled by ¢ <br /> rs+g�rur /rr,rrr�r:r <br /> ELL-P <br /> w.}' *.,... Kra"K e`b°. •-^��-.y. M F <br /> PU�_ _ 0 ,C1 IIE ',��[ETI C} l/ <br />' Bailer-Type l- <br /> Casing Diameter(D in inches) — <br /> 2-inch ❑4-inch ❑6-inch 0 Other ❑Submersible O Centrifugal ❑Bladder Pump No <br /> Total Depth of Casing (TD in feet BTOC) ❑Other-Type <br /> Water Level Depth (WL in feet BTOC) PUMP INTAKE RMING <br /> Number of Well Volumes to be purged(#Vols) <br /> L]3 ❑4 115 ❑ 10 ❑Other ❑Near Bottom D Near Top ❑Other <br /> _ Depth in feet (BTOC) Screen Interval in Feet(BTOC) <br />' <br /> 'PURGE VOLUME C;ALC7 I5 T,tt from to <br /> x 2�- x S7 x 0 0408 = . �- gallons <br /> TD(feet) WL(feet) ! D(inches) #Vols Calculated Purge Volume <br /> Ti <br /> IIJ(3 StartStop Elapsed Initial gpm Final gpm gallons <br /> i L FRA tIETER <br /> Minutes Since Cond ❑OC Minutes Since Cond ❑oC <br /> Pumping Began P (µmhos/cm) T C3 OF Other Pumping Began pH (µmhos/cm) T C3 OF <br /> Other <br /> v � <br /> 2 �6 -VK' <br /> � a <br /> Meter Nos <br />' Observations During Purging (Well Condition, Turbidity, Color,Odor) <br /> Discharge Water Disposal ❑ Sanitary Sewer ❑ Storm SewerOther�yY�► S' <br /> 3 t z <br /> SA(�i)f�LFN WTHGC3 ❑ Same As Above <br /> Bailer-Type _ ❑ Grab-Type <br /> ❑ Submersible ❑ CentnQgal ❑ Bladder,Pump No O Other-Type <br /> )! { TA1181 T1 Sample Senes <br /> Sample No Volume/Cont Analysis Requested Presery Ives Lab Comments <br /> 3 V tP j-�ryrF - c_ <br /> Ilk <br /> QU ATY C Off.SAMNES <br /> Duplicate Samples Blank Samples Other Samples <br /> Original Sample No Duplicate Sample No Type Sample No Type Sample No <br />' RL006 OE Cow WHna Fero Coen G—RV 0746 <br />