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' Harding Lawson Associates GROUND-WATER SAMPLING FORM <br /> = = Engineering and <br /> Environmental Services Well No <br /> ob Name Z]Z C— Well Type Monitor ©Extraction ❑Other <br /> Well Materal `1 PVC ©St Steel ❑ Other <br /> qe�job Number U' C Date Time <br /> ' Recorded by ------ Sampled by t <br /> WELL PUaGiN <br /> PURGE VOLUME PURGE METHOD / <br /> Casing Diameter(D in inches) Bailer Type <br /> 2-inch ❑4 inch O 6-inch ❑Other ❑ Submersible ❑Centrifugal ❑Bladder Pump No <br /> Total Depth of Casing(TD in feet BTOC) ' r" ❑Other Type <br /> Water Level Depth (WL in feet BTOC) PUMP INTAKE SETTIIV� <br /> Number of Well Volumes to be purged (#Vols)' <br /> El Bottom El Near Top ❑Other❑3 R 4 ❑5 El 10 ❑Other. Depth in feet(BTOC) Screen Interval in Feet(BTOC) <br /> PURGE VOLUME CALCULATIONfrom to <br /> 2 <br /> X X X 0 0408 = ����_ �.. gallons <br />' TD (feet) WL(feet) D (inches) #Vols Calculated Purge Volume <br /> JPURGE TIME R i_F_ RATE A+ AUPURGE LUME <br /> "Start Stop-Elapsed Initial gpm Final gpm gallons <br /> FIELt PARAMETER MEWS CRS MENT <br /> Minutes Since Cond T C)'C Minutes Since Cond C3*C <br /> Pumping Began pH (mhos/cm) El IF Other Pumping Began pR (µmhos/cm) T❑IF Other <br /> Q � h r . <br /> Z4a �t L Q <br /> dYtO 116 <br />' c7 Meter Nos <br /> Observations During Purging (Well Condition, Turbidity Color,Odor) <br /> Discharge Water Disposal ❑ Sanitary Sewer U Storm Sewe/r 'G Other (/�� [/ <br />' r P�.IC Y <br /> = iA PLING MET140D ❑ Same As Above <br /> Bader-Type _ S ❑ Grab-Type <br />' ❑ Submersible ❑ Centrifugal ❑ Bladder Pump No ❑ Other-Type <br /> LINGDISTRIBL`iµION Sample Series <br /> Sam le No Volume/Cont Analysis Requested Preservatives Lab Comments <br /> SL NTRQL qAj PLUS <br /> --YCP licate Samples Blank Samples Other Samples <br /> Original Sample No Duplicate Sample No Type Sample No Type Sample No <br /> G <br /> RL004 QFFlCr COPY WHITE FIELD COPY Ce/u�RY 0744 <br />