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Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street r <br /> Santa Crux,G 95060 Well Number: W <br /> {408) 419-11718 <br /> ro,ect Number '01s Sample TypeGroundwater OTnp Blank ODuplicate of <br /> Ion Number: lla <br /> Date l��l�_ Sampled by J <br /> `��"]EY.�L PURGING <br /> PURGE Casing Diameter (inches) O 2" 03" 04" 04 5" 06" O <br /> VOLUME Volume Factors. 0 1632 03672 06528 0826 1 469 <br /> Total Depth of Well Initial Water Level. PURGE METHOD: <br /> O Honda Pump <br /> Total Volume Purged: Time Elapsed OD <br /> lsposable PolyTubtrig(-___ft) <br /> OSpecd Winch <br /> Calculated Purge Volume: ODisposable 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 /> ft <br /> OYes ONo ( ) (ft) <br /> E <br /> SAMPLING METHOD <br /> OPVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour cloth <br /> OOther a <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp ta Cond Analysis No Con== preservatives <br /> Removed Time pH of (umhos/cm) Required of Type <br /> EPA 601 V OA's <br /> TPH-G/BTEX VOA's HCl <br /> TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />