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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME tS� PROJECT NUMBER SIV. Z529A 000 WELL NO _ LA)� <br /> PROJECT MANAGER _30 TYPE OF WELL &--" Monitoring Extraction Other <br /> RECORDED BY Af- SAMPLED BY A-F DATE C721 (c OV <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well asing Diameter <br /> 2-inch 4-Inch Other VBaller - Type <br /> Well Total Depth L feet below Top of Casing,T❑ Pump - Type <br /> Other - Specify <br /> Depth to Water W,W feet below Top of Casing,Wt. Hydrocarbon Odors/,/ <br /> Water Column Length -`r feet Yes , No <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> r X %--) _ TI Calculated Purge Volume = ' <br /> 31 Xallons <br /> (WCL) (Multiplier) (No Volumes) Actual Purge Volume gallons <br /> NlultE lier (Casing DlameW vehes = Gallon"near toot 2=Q 17 4=0-66 6= 1 5 8=2-6 <br /> Groundwater Parameter Measurement Meter Typ F d Calibrated _Yes—No <br /> TIME ELAPSED ELOWRAffis ❑TW pH EC TEMP� TURBIDITY REDOX COMMENTS <br /> TIME (GPK9 Vey - (ft) unhoslcm �aeg c� (NTU) mV f <br /> . hanil Ea <br /> /r I ) /dt /01 gt <br /> 11'r"I C��_4- 0 4 a ,e r, <br /> 5 i t - ILr <br /> rs10MASSOCIATES <br /> INC. <br /> Eh-ARONMENTAL,GEOTECHNICAL AND MATENALS PROFESSIONALS <br />