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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION <br /> PROJECT NAM ��t i M�G�r1v�5 Se4V CJ- PROJECT NUMBER WELL NO W 3 <br /> PROJECT MANAGER -1 4A TYPE OF WELL Monitonng Extraction Other <br /> RECORDED BY -A f SAMPLED BY DATE 0/105 <br /> WELL PURGING INFORMATION <br /> PURGE VOLUME PURGE METHOD <br /> Well Cpsing Diameter <br /> inch 4-inch Other Bailer - Type <br /> =Pump - Type ndq <br /> Well Total Depth feet below Top of Casing,TD Other - Specify <br /> Depth to Water Z-3-f. feet below Top of Casing,WL Hydro n Odors <br /> Yes No <br /> Water Column Length feet <br /> Purge Volume Calculation (Water Column Length x Multiplier x No Volumes = Calculated Purge Volume) <br /> 111.3 Z X 0 0cl, X 3 — Calculated Purge Volume = gallons <br /> (WCL) (Multiplier) (No Volumes) Actual Purge Volume = CJ gallons <br /> Multiplier (Casing Diameter ches = GalloWlinear foot 2=017 4=0.66 6=1 5 8=2 B <br /> Groundwater Parameter Measurement Meter Type SI 0c) Calibrated /Yes No <br /> TIME ELAPSED FLOWRATE DTW pH EC T TURBIDITY REDOX COMMENTS <br /> TIME �s PAA} (f{) onhoslcm + (NTU) mV <br /> deg F <br /> ray t 23 a 7 7 WD -,11 9k N'A. <br /> "a z 7 t 5" 910 <br /> tt w73 CP <br /> 25' '7. lf X10 St. 3 At A WO- rk <br /> ¢ <br /> o J i A, 70 ZZ I y <br /> \T <br /> A SOCIATES INC, <br /> EWRONMENTAL,12EOTECHNICALAND MATERIALS PROFESS1OA <br />