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M M lvm M M M M m Mir M <br /> GROUNDWATER SAMPLING FORM <br /> PROJECT NAME `j f,-cel rlt PROJECT No 1:7 6 �_`�5 DATE <br /> WELL No pm("J-3 SAMPLE No SAMPLE TIME <br /> SAMPLER5R f p J wll WEATHER dot4 WELL SECURE(Y/N) �s <br /> FREE PRODUCT(YIN) A)o PRODODT 11IICKNE99 � OESCRIP11oN <br /> PURGE VOLUME Well Depth%.qg Depth to Water(TOCa t9 - Stailc Water Ilolgl,tI 79 X Well Vatum 0(6zx Number of Volumes <br /> Well Volume. 0 162 for 2"well,0 367 for 3'well,0 65 lot 4'well, 1 02 for 5"Wall, 1 47 for 6 well <br /> ACTUAL VOL PURGED 6 PURGE METHOD Bq;(� WATER DESCRIPTION <br /> _ y ►� aP� <br /> PURGED DRY(YIN) D SAMPLE ME11101) g�� <br /> rEFIELDTRUMENTS pH(a u) TEMPERATURE "CCONDUCTIVITY(nllloalcm) TURBIpiTY(NTUs) <br /> D NAME dt4 NUMBER 13 o l 3 os Q 3 U <br /> PURGE AND SAMPLE: MEASUREMENTS <br /> v <br /> -PpAtu <br /> +..'.. . oy L ` irh v y t N } l'lb, 411y, i {} 5 f[ � �L, `S <br /> >� <br /> � 3 <br /> -y. <br /> 61 53 <br /> SIGNATURES OF SAMPLING TEAM. _ <br />