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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Lttxrty Street <br /> Santa Cruz, Ca 95060 welt Number' <br /> {408) 459-0718 <br /> J&rro�ect Number. `* Sample Type OGroundwate OTnp Blank ODuplicate of <br /> Number CA <br /> Date. 1--Z�1 Sampled by <br /> WELL Pg TRG-ANG <br /> PURGE Casing Diameter (inches) O 2" 03" 04" 04 5" 06" O <br /> VOLUME Volume Factors o 1632 0 3672 0 6528 0 826 1 469 <br /> Total Depth of Well Initial Water Level. PURGE METHOD: <br /> O Honda Pump <br /> Total Volume Purged: Time Elapsed ODisposable PolyTubing( ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODlsposable PVC Bailer(s)(_ _) <br /> OOther <br /> x — x — (gallons) <br /> Total Depth Water Level Well Vol Fac #of vol to Purge Calculated Purge Volume <br /> COMMENTS: <br /> Sublective Analysis Prior to Purging <br /> SHEEN Depth to Product Product Thickness <br /> ss <br /> 01A/\ � OYes ONo (ft) (ft} <br /> SAMPLING METHOD <br /> OPVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther <br /> WELL SAMPLING PARAMETERS <br /> Gallons ine <br /> Temp Cond Analysis No Contar <br /> Removed Time pH *F (umhos/cm) Required of Type Preservatives <br /> EPA 601 VOA's <br /> TPH-G/BTEX 3 VOA's HCl <br /> 'k;:,— <br /> TPH- Diesel Amber <br /> Lite r <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />