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Yj <br /> GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAME7hI ) /71.5 PROJECT NUMBERaa� S of WELL NO _ M (v <br /> PROJECT MANAGER -J TYPE OF WELL —L—MonitoringExtraction Other <br /> RECORDED BY SAMPLED BY DATE /Q Z 3 4:3 <br /> WELL PURGING INFORMATION, <br /> PURGE VOLUME PURGE METHOD <br /> Well Casing Diameter <br /> 2-inch 41 h Other <br /> Sailer - Type , p <br /> Well Total Depth Yo,�Q feet below Tap of Casing,TO =pump - Type�vb�+r;• `�- <br /> Other - Specity <br /> Depth to Water 2J' sj feet below Top of Casing,WL <br /> Hydrocarbon Odors la <br /> �IWater Column Length � feet Yes Z N <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> I X O 6..6_..Q X 3 _ :I :b 4 Calculated Purge Volume = Z 3` .3 allons <br /> (WCL} (MuMplier)r (No Volumes) Actual Purge Volume gallons <br /> Witipller (Casing,Diameter cher =G allnnslimear fogtj 2=p 017 4=(366 6-1.5 a=ze <br /> Groundwater Parameter Measurement Meter TypeCalibrated _ es_No <br /> TIME ELAPSED FLCWRATE DTW pH EC TURS107r REDOX COMMENTS <br /> TIME (GPM) (ft) an1+calcm deg C (NTU) mV �� <br /> "1 /'� ]Q' J �-I �Xt }1� 1- lei <br /> �f l r V 1 / JACtL&ko <br /> rot zq�a6 a <br /> 10119 19. 36, ©rte -z.1,=F <br /> 3 5 <br /> Ll- Z-211 Y Z • <br /> i <br /> %AMASSOCIATES IC. <br /> ENmommENTAL,QEOTECHN1CAL AND MAT EMAL3 PROMSSIONAL.S <br />