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i <br /> 13[AE GROUNDWATER SAMPLING FORM <br /> 202 Elul Enrlr 476 �� <br /> Phveuix AnzOtm nn 8 801212 Well No <br /> I 1602)728 0707 -- -- <br /> Well Monit 0 Remedial-VE AS <br /> Site ID QD Z 7pq� p Z Well 13 PV 13 St Steel 11 Other <br /> Project No `70 ffi�b Date 3-19--0) Time <br /> Recorded A.- N7V- Sampled By <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in ❑ Bailer-Type <br /> R4-Inch ❑ 6-inch ❑ Other ,Submersible ❑Whale <br /> I Total Depth of Casing(ID In feet 0 Other <br /> Water Level Depth(WL In feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be <br /> ❑ <br /> 3 ❑4 ❑ 5 ❑ Other Near Bottom �'Near Top ❑ Other <br /> Depth In feet <br /> Purge Volume Screen interval In Feet(BTOC) <br /> b' s •$ , '� to <br /> r e l 4 5 0 X X X 0 0409 = �0 allons <br /> l TD(fee <br /> l) WL J1 D(Inches) it Vols Calculated Purge g <br /> ftmp Time Purge Rate JACtual Purge Volume <br /> start�0 stool/ Time Elapsed 1, Initial iTpm g 5 gallons <br /> Field Parameter Measurements Final Qpm <br /> Time Time La sed Gallons Con Tem Cond 2 p pH Notes <br /> 1 • p Purged mhos/cm) (u cm) <br /> • �. Z C. � iR <br /> Ito <br /> Observations During Purging(well Condition Turbidity Color Odor <br /> I <br /> Purge Water Drums) ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date 3:2r / ISamplingTime t--?— <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> Bader-Type ❑ Some as Above <br /> Submersible ❑ Whale ❑ Grab-Type <br /> Other ❑ other Type <br /> Sampling DlStrlbution Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lab Comments <br /> -a a <br /> Other Notes <br />