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r Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 L.ibeny Strep Amw <br /> Santa Cruz,Ca 95060 Weil Number - 15 <br /> (408)459-0718 <br /> Project Number b 'viS Sample Type OGroundwater OTnp Blank ODuplicate of <br /> tion Number: 13 P I It 1 <br /> Date J Z J i Sampled by V <br /> WELL PURGING <br /> PURGE Casing Diameter (inches) 02- 03" 04 5" 06" O <br /> VOLUME Volume Factors. 0 1632 0 3672 0 6528 0 826 1 469 <br /> Total Depth of Well -� Initial Water Level. y" 5 S PURGE METHOD: <br /> Advonda Pump <br /> Total Volume Purged: Time Elapsed sable PolyTubtngft) <br /> OSpc4d Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)( <br /> / C OOther <br /> x ( � V = .Oq x —k9 - Z '7(gallons) <br /> Total Depth Water Level Well Vol Fac #of vol to Purge Calculated Purge Volume <br /> COMMENTS: <br /> Subjective Analysis Prior to Purging <br /> SHEEN Depth to Product Product Thickness <br /> Oyes *io (ft) (ft) <br /> i <br /> SAMPLING METHOD <br /> )6ZVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 bo r <br /> 00ther. <br /> WELL SAMPLING PARAMEJERS <br /> Gallons Temp Cond Analysis No Container <br /> Removed Time pH OF (umhos/cm) Required of Type Preservatives <br /> ( &16 6 •q0 631, k t4 _i EPA 601 VOA's <br /> �b <br /> 641 63A 1 rt Z TPH-G/BTEX VOA's HCl <br /> 2.1 <br /> 167,5 6.1 t 6�17 1` 13 TPH- Diesel L ter <br /> Amber <br /> TOG 5520 BF H2SO4 <br /> Liter <br />