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GROUNDWATER SAMPLING FORM <br /> PROJECT INFORMATION � <br /> PROJECT NAME d c Kw/ PROJECT OJEC NUMEER �r WELL NO <br /> " y <br /> I PROJECT MANAGER I LI <br /> TYPE OF WELL `� ,W1ortltalZng Extrac:tan Other I I <br /> RECORDED HY SAMPLED BY !Q F DATE, O ` 2,7 O C� <br /> I <br /> WELL PURGING INFORMATION � <br /> PURE VOLUME PURGE 1NIETHOD <br /> Welt¢rasing Diameter <br /> 2-rnc't 4-fnch Other Her - Type <br /> Well Total Depth Z2,1 3 feet below Tap of Casing,TO Pump - Type <br /> Cther - Spec,fy <br /> I Depth to Water 0 ' 0\ feet below Top of Casing,WL <br /> .p ydr roan Cdars <br /> Water Column Length 1 7 Z feet Yes No <br /> r <br /> i <br /> I <br /> Purge Volume Calc�laticn (Water Column Length x Muitiplier x Ne Volutea Purge Volume) <br /> X ©t �Z X 3 _ o b <br /> (WCL) i (Multiplier) Calculated Purge Volume = /0 -0(c ailons I <br /> p ) (Na Volumes) ,actual Purge Volume = _ _ � gallons I <br /> V;}Itliolser (Cz:s;nq Diameter ffncnesl = Gaifottvbnear tcoo 2=0 r f 4=6-6e 6=15 8=Z� <br /> Groundwater Parameter Measurement Meter Type S �bCCalibrated _Yes No <br /> TIME r.:;PSED I FLCWRA7E I 07N I pH ;C � TUF5lCIT( REDCX I � C:MMEN T 5 <br /> E yGP°� 4Z) ,mneslcm aeg C TJTL� <br /> 1 b Mv I <br /> d r <br /> 1�1 O f I ~a 01 1 0 r3 I I q 19 t-JA - p• <br /> L4 t o , 131 I tq �s I I Z <br /> t 4 5`t -7 116 r 111 t <br /> IIy�'I b 14 r216;31 btVi I rFclA lu OL <br /> p tz I <br /> l lsC3 I to l !o Z3 I (0,31 I IS 31 \�U 1I o I <br /> I I I I I <br /> 'v= <br /> I I I I I <br /> I I I I 1 I I I I I <br /> � I I I I I I IIr <br /> I I I I <br /> ASSOCIATES INC. <br /> ENV,RONMENTAL,GEOTECHNICAL AN!)MATERIALS PROF6SMOHALS <br />