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i <br /> I BLAS GROUNDWATER SAMPLING FORM <br /> . 202 E1sr Enril RineSuite a78 <br /> Piluet"N pnx8n01122 <br /> {402)0I)72g 01677 Well No <br /> Well Monit C1 Remedial-VE AS <br /> Site ID 7ba5� Well 0 PV ❑ St Steel Il Other <br /> Project No Oo-Z 70q(S—O 0 z Date3-(,9-01 Time <br /> Recorded Sampled By <br /> I WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> 1 Cosing Diameter(D)in Bader-Type <br /> f [ 2-€nch [I4-Inch El 6-Inch El Other Submersible ❑ Whale <br /> Total Depth of Casing JD In feet ❑ Other <br /> I Water Level Depth(WL In feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(4 Vois}to be <br /> ❑ Near Bottom Near Top ❑ Other <br /> X3 El 4 C1 5 [1 Other <br /> Depth In feet <br /> Purge Volume Screen Interval in Feet(BTOC) <br /> 2 3 to <br /> TD(feet) WL X X X O 0409 gallons <br /> D(Inches) #vols Calculated Purge <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Ob Stop ZO Time Elapsed Initial qpm ` gallons <br /> Field Porameter Measurements Final qpm <br /> Time Tlrne Lapsed Gallons Con Con Tem <br /> Purged (u slcm) {u s/cm} p pH mores <br /> rrkoo � <br /> l <br /> Observations During Purging(well Condition Turbidity Color Odor <br /> IPurge Water Drum(s) El Storm Sewer Cj Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date Z'D( Sampling Tlme J"Z3c� <br /> Sampling Method Water Level Before Sampling(in feet BTOC) , �- <br /> I Boder-Type ❑ Some as Above <br /> El Submersible ❑ Whole ❑ Grob-Type <br /> El Other ❑ Other-Type <br /> Sampling Dlstributlon Sample Series <br /> Sample No Containers Vol # Analysis Preservatve Lab Comments <br /> iOther Notes <br /> i <br />