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E <br /> E8UI J li Dr,$mucnl�i Al,n�Fcu,cui IIIc GROUNDWATER SAMPLING FORM <br /> 2a=Elm En z ni 8 12 J7$ / <br /> 602)7� 707 8�01� Well No / <br /> fGfrSl 71S 0707 E �zr Site ID 70 R Sv Well t Monit © Remedial-VE AS <br /> Well PV E3 St Steel C] Other <br /> Project No a z 7o95a o Date_ -r9 w a r T[me <br /> Recorded Sampled By <br /> WELL PURGINGPurge Volume Purge Purge Method <br /> Casing Diameter(D)in <br /> Bader-Type <br /> 2 Inch ❑ 4-inch ❑ 6-tnch ❑ Other U Submersible <br /> Total Depth of Casing JD In feet ❑ Whale <br /> ❑ Other <br /> Water Level Depth(WL in feet BTOC) <br /> Number of well Volumes(#Vols)to be Pump Intake Sefting <br /> `R 3 ❑4 ❑5 ❑Other ❑ Near BottomXNear Top ❑ Other <br /> Depth In feet <br /> Purge Volume Screen Interval in Feet(BTOC) <br /> 7-7 _ k3� X z 2 � to <br /> ro(teat) WL X X 0 0409 = / �. <br /> O(Inches) q Vols Calculated Purge <br /> gallons <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start C7 stop Time Elapsed Initial PPM Z gallons <br /> Field Parameter Measurements Final ApM <br /> Time 71me Lapsed Gallons Cond Contl <br /> Purged (u s�cm) (u fcm) Temp pH Notes <br /> f <br /> ObservatIons During Purging(well Condition Turbidity Color Odor <br /> Purge Water <br /> Drum(s) ❑ Storm Sewer ❑ Sanitary Sewer <br /> Cher <br /> WELL SAMPLING <br /> sampling Date� 3—Z� _b � 5amp[ing Time Ll� <br /> Sampl[ng Method Water Level Before Sampling(in feet BTOC) <br /> Sailer-Type ❑ Same as Above <br /> Submersible ❑ Whale ❑ Grab-Type <br /> Other ❑ Other-Type <br /> Sampling Drstnbut[on Sample Series <br /> Sample No Containers Vol # Analysis Preservative tab Comments <br /> I Al/ <br /> EOther Notes <br />