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girth Technical 6ervices 6kU C ND WAT JEk SAMPLING FORM <br /> 1. • <br /> 11Libety 95( <br /> Santa <br /> Cruzruz..G 95060 Well Number• � <br /> (408)439-0718 - <br />? Number: I Ik C4' Number: O -a5 <br /> SW <br /> Sample Type: roundwater OTnp Blank ODuplicate of <br /> Date: /�/ C4 Sampled by: <br /> T6 <br /> WELL PURGING <br /> PURGE Casing Diameter (inches) 0 2" 03" 04 5" 06" O <br /> VOLUME Volume Factors: 0 1632 0.3672 0 529 o 826 1469 <br /> Total Depth of Well 1 Initial Water Level: .5 -31 PURGE METHOD: <br /> oada Pump <br /> Total Volume Purged: 1' Time Elapsed. posable PolyTubing(, ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(_`) <br /> OOther <br /> x - 65 _ - (gallons) <br /> Total Depth water level �+ Well Vol Fac #of vol to Purge Calculated Purge Volume <br /> COMMENTS: <br /> r Sublective Analis Prior to Purging <br /> SQ w1 S SHEEN Depth to Product Product Thickness <br /> Oyes (ft) (ft) <br /> � 7,�.e L trt'J• / � <br /> SAMPLING METHOD <br /> C Disposable Bailer Time Sampled <br /> OTeflon Bailer (34 bout clock <br /> OOthcr• <br /> WELL SAMPLING PARAMEICEBS <br /> Gallons Time H Temp Cond Analysis No. Contaitycr preservatives <br /> Removed / p °F (umhos/cm) Required of Type <br /> S 155-S 6 ' f3 0-2 EPA 601 VOA's <br /> IS 453 g L • 9S 62- 7 TPH-G/BTEX 7j VOA's HCl <br /> Amber <br /> Z5 IS � 6 ' � 62-5 Z- �/ TPH- Dicsel <br /> Liter <br /> CA 7 �2 •�3 Z - <br /> TOG 5520 BF Amber H2SG4 <br /> S <br />