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GROUNDWATER PURGE AND SAMPLING FIELD DATA SHEET <br /> rhw-3 <br /> 1 PROJECT INFORMATION WELL ID. . <br /> Project Numbed 170940 Task Number vol Date 03-10`cnr Time, 1040 <br /> ClfenL ^1 1 Personnel, M T��V►N <br /> Project Location .D Weather ,QCs <br />' 2 WELL DATA <br /> Casing Diameter inches Type of Casing <br />' Screen Diameter inches(d) VOA( Type of Screen Screen Length <br /> Total Depth of Well from TOC feet <br /> Depth to Static Water from TOC 69 Z3 feet <br />' Depth to Product from TOC feet <br /> Length of Water Column(h fee Calculated Casing Volume gal (3 to 5 times one well volume) <br /> Purge Volume Calculation(one rsi fKolume-0 041 d1h) i•g0 <br />' Note 2-inch well=0 167 gafdt 44nch welt-0 667 ga <br /> 3 PURGE DATA E w ment Model <br />' Purge Method '�� Qyn as _-� 1 <br /> Materials Pump/Bailer <br /> Materials Ropefrubing <br /> 2 <br />' Was well purged dry? O Yes K No Pumping Rate gaumn 3 <br /> Cum <br /> Other <br /> Time Gallons pH Temp(Units) 5p`Unb)nd Eh(Units) DO(Units) T(NTU) a� L. Comments <br />' Removed <br /> Z <br /> 9.07— • 1. y It <br /> O . O M �• f sf <br /> 4 SAMPLING DATA Analyses Requested <br /> Method(s) <br /> Materials PumplBailer I Lm 7 11Jt <br />' Materials Tubing/Rope <br /> Depth to Water at Time of Sampling Field Filtered? 0 Yes 416"o <br /> Sample ID in Q— Sample Time_1QS� #of Containers <br /> 5LDuplicateSample Collected? p Ye�-No ID <br /> COMMENTS <br /> 1 <br /> Include comments such as well condition odor presence of NAPL or other items not on the field date sheet <br />' FORM GW-1 (Rev 7avoi) Signature <br /> P 10verhead10017-1 SiForms%Groundwater Sampling Form As <br />