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Well No <br /> GROUNDWATER SAMPLE COLLECTION RECORD <br /> Ject Names Job No S "04{ Date Z- M <br /> Samplers Name �I <br /> Weather Conditions Lam-✓ <br /> 1 WATER LEVEL DATA (from TOC) / TOC Elevation (from LS) <br /> a Depth to water (ft) - __22SZ Water Table Elev <br /> b Total Well Depth = qQ 0) Tape Corr (TC) <br /> c Length of Water Column - k°[ (b - a) Well Dia. '-f`i <br /> d Casing Volume - VL% [c x (gal/ft casing)] Borehole Dia <br /> e Length of sand pack = to <br /> f Galion per ft of sand pack = [e x (gal/ft borehole-gal/ft 2-m casmg/borehole = 0 16 gs]/ft <br /> casing) x 0 351 4-ui easmg/boreholc = 0 65 gayft <br /> 6-m casing/borehole = 147 gal/ft <br /> g Sand pack volume = {e x f) 6 5-m casing/borehole = 17 gal/ft <br /> S-m casing/borehole = 2 60 g&Yft <br /> h TOTAL WELL VOLUME = I`� 60 (d + g) 10-m casing/bomhole = 4 1 gal/ft <br /> 2 WELL PURGING DATA ` 12-m casmg/borehole = 5 0 gal/ft <br /> a Purge Method Z'• t u F <br /> b Required Purge Volume 61,gallons per well volume) _ <br /> c Field Testing, Equipment Used ��-> �.F T4-v �� <br /> d Pump Rate 2, 6 i._ <br /> e Method of GW Disposal Q5S <br /> f Recovery Rate Slow (90%>60 min), Medium(90% 30-60 mmCFast VW<10 mu") <br /> Volume <br /> Removed Spec Turbid" Color/ <br /> al Time T°c H —conductivitys Deh <br /> ' we on SWL Placement <br /> 2i,yJ L <br /> ICI <br /> fl,0 s g �� �y 11-0 2 CLQ <br /> 3 SAMPLE COLLECTION Method L 5 s ��� Container IL"*-Q Preservation <br /> Analysis — <br /> COMMENTS, REMARKS <br /> I <br /> aei 9t94M,MMosWIIW0Ii.a.?Yo$M wrs <br />