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;3irch Technical services GROUNDWATER SAMPLING FORM <br /> 126 Liberty Street <br /> Santa Cruz, Ca 93060 Well Number: ' " w <br /> (408)459-9718 <br /> Project Number: 1 D'�� <br /> Sample Type. roundwater OTn Blank ODu <br /> licate of <br /> �DonNumberllli <br /> Date: <br /> Sampled by- 6-To <br /> WELL PTTRGING <br /> PURGE Casing Diameter (inches) 0 2- 03- 0�-' 04.5" 06" O <br /> VOLUME Volume Factors: 0 1632 0.3672 0 6528 0.826 1 469 <br /> Total Depth of Well 3 initial Water Level: 5' b PURGE METHOD: <br /> Honda Pumpp <br /> Total Volume Purged: Time Elapsed- posable PolyTubingCiLft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)(___) <br /> 1 OOther q <br /> 7. 5 3 x .b5 t/' x 3 a (gallons) <br /> Total Depth Water t.avel Well Vol Fac #of vol to Purge Calculated Purge Volume <br /> COMMENTS: <br /> Subjective Analysis Prjor to Purging <br /> SHEEN Depth to Product Product Thickness <br /> p I J OYes dfNo (ft) (ft) <br /> SAMPLING METHOD <br /> bl�VC Disposable Bailer Time Sampled <br /> O eflon Bailer (24 ur loo) <br /> OOther. <br /> WELL SAMPLING PARAMEJERS <br /> Gallons H of (umhos/cm) Required of Temp Cond Analysis No Cantairicr Preservatives <br /> Removed Time pTy <br /> Jr '(err T 6 1 SCJ' 8 EPA 601 VOA's <br /> l a 16 15 1 7, 2- 762.3 1 • S S TPH-G/BTEX VOA's HCl <br /> ITPH- Diesel Amber <br /> fs /,6 /y 7, 15 6Z` V /" 57 Liter <br /> TOG 5520 BF Amber H2SG4 <br /> Liter <br /> r <br />